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Nutrición clínica pediátrica

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En este resumen se podrán encontrar los datos necesarios para el calculo de requerimientos nutricionales para población pediátrica (0-18 años) ingresada en UCI u hospitalizados de diversas patologías. Igualmente, se puede encontrar los exámenes bioquímicos con sus valores de referencia normales y recomendaciones nutricionales según el tipo de soporte nutricional.

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TABLAS DE VALORACIÓN ANTROPOMETRICA




PERIMETRO DEL BRAZO (0-5 AÑOS) = <11.5 cm indica riesgo de mortalidad por
malnutrición o desnutrición aguda grave

, PERIMETRO DE CINTURA = >P90 Obesidad abdominal

EN NIÑOS CON BAJO PESO O PESO ADECUADO, SE UTILIZA PESO ACTUAL.
EN NIÑOS CON SOBREPESO U OBESIDAD, SE UTILIZA PESO SALUDABLE.



PERDIDA DE PESO PROGRAMADA
➢ < 5 años: Mantener peso
➢ 6-11 años: Perder 0,5 – 1 kg/mes
➢ > 12 años: Perder 1 – 2 kg/mes
➢ Todos: Ganar talla o mejorar peso/talla o IMC/edad



EDEMA O ASCITIS
SITUACIÓN % A RESTAR
EDEMA I (TOBILLO) 5%
EDEMA II (ROTULIANO) 10-15%
EDEMA III (ANASARCA) 15%
ASCITIS 2-10% (2 leve, 5 moderada y 10 severa)


VALORES DE LABORATORIO
Aceptable Límite Anormal
Colesterol Total < 170 mg/dl 170 - 199 mg/dl ≥ 200 mg/dl
Triglicéridos (0-9 <75 mg/dl 75 - 99 mg/dl ≥ 100 mg/dl
años)
Triglicéridos (10- < 90mg/dl 90 - 129 mg/dl ≥ 130 mg/dl
19 años)

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