NPT: nutrición parenteral total. NP: nutrición parenteral. NEDC: nu- trición enteral a débito continuo. DOF: dieta oral fraccionada.
TABLA 5. Métodos de retirada
de la nutrición parenteral
NPT → NP + NEDC _ NEDC nocturna + DOF → DOF
NPT → NP + DOF → DOF NPT → NEDC → DOF
La nutrición constituye una terapéutica priori- taria en el niño gravemente enfermo, y debe ser adecuada a su edad y a su enfermedad, así como a la fase de estrés en la que el niño se encuentre. Siempre que sea posible se utilizará la vía digestiva mediante la realización de una
NEDC, reservando la NPT para situaciones de imposibilidad, de intolerancia o de alto riesgo en su aplicación. La oxidación de sustratos en la agresión es mixta y destaca una importante proteólisis, por lo que los aportes deben man- tener un correcto equilibrio entre sí.
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