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(PDF) Manejo Hospitalario de Desnutrición Severa en Pediatría

Este documento resume las directrices para el manejo hospitalario de desnutrición severa en pediatría. La desnutrición severa se define como un desequilibrio entre el requerimiento y gasto energético que resulta en un déficit acumulativo de energía, proteína o micronutrientes que afectan negativamente el crecimiento y desarrollo en niños. El documento describe los criterios de diagnóstico, tratamiento nutricional y de apoyo, así como el alta hospitalaria para casos de desnutrición severa.

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laura rodriguez
Derechos de autor
© © All Rights Reserved
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0% encontró este documento útil (0 votos)
13 vistas9 páginas

(PDF) Manejo Hospitalario de Desnutrición Severa en Pediatría

Este documento resume las directrices para el manejo hospitalario de desnutrición severa en pediatría. La desnutrición severa se define como un desequilibrio entre el requerimiento y gasto energético que resulta en un déficit acumulativo de energía, proteína o micronutrientes que afectan negativamente el crecimiento y desarrollo en niños. El documento describe los criterios de diagnóstico, tratamiento nutricional y de apoyo, así como el alta hospitalaria para casos de desnutrición severa.

Cargado por

laura rodriguez
Derechos de autor
© © All Rights Reserved
Nos tomamos en serio los derechos de los contenidos. Si sospechas que se trata de tu contenido, reclámalo aquí.
Formatos disponibles
Descarga como PDF, TXT o lee en línea desde Scribd
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Manejo hospitalario de desnutrición severa en pediatría

June 2022 · Acta Pediátrica de México 43(3):193


DOI:10.18233/APM43No3pp193-1992373

Authors:

Ana Gabriela Ayala Germán Alejandro Flora Zárate-Mondragón Erick Manuel Toro-Monjaraz
Instituto Nacional de Pediatría Loredo Instituto Nacional de Pediatría Instituto Nacional de Pediatría
Mayer

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Citations (1) References (18)

Abstract

La desnutrición se define como aquella condición patológica, inespecífica, sistémica y


potencialmente reversible que resulta de la deficiente utilización de los nutrimientos por las Discover the world's
research
células de los organismos.1 De acuerdo con la Sociedad Americana de Nutrición Enteral y
Parenteral (ASPEN, por sus siglas en inglés) se precisa como un desequilibrio entre el 25+ million
requerimiento y gasto energético, lo cual resulta en un déficit acumulativo de energía, members
proteína o micronutrientes que afectan de forma negativa el crecimiento, desarrollo y otros
resultados relevantes en la población pediátrica. En cuanto a su severidad, de acuerdo 160+ million
con la Organización Mundial de la Salud (OMS), se clasifica según su puntuación Z en publication
leve, moderada y severa.2 pages
2.3+ billion
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citations

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CRITERIO PEDIÁTRICO
Acta Pediatr Mex 2022; 43 (3): 193-201.

Manejo hospitalario de desnutrición severa en


RITERIO PEDIÁTRICO

pediatría
C
Hospital treatment of pediatric severe malnutrition
Acta Pediatr Mex 2022; 43 (3): 193-201.
Ana Gabriela Ayala-Germán,1a Alejandro Loredo-Ma yer,,2b Flora Zárate-Mondr
Loredo-Mayer
yer agón, 2c Erick Manuel TToro-
Zárate-Mondragón, oro-
Monjaráz, 2d ƌŝĐŬĂDŽŶƟũŽͲĂƌƌŝŽƐ2e José Fr ancisco Cadena-León,2f Karen Rubí Ignorosa-Arellano,2g R
Francisco Roberto
oberto
Download full-text PDF
Cervantes-Bustamante, 3h Download citation
Jaime Alfonso Ramírez-Mayans4i Copy link
Alfonso

1a 2b 2c
2d 2e 2f 2g
3h 4i

Ana Gabriela Ayala-Germán, Alejandro Loredo-Mayer, Flora Zárate-Mondragón, Erick Manuel Toro-
Monjaráz, ƌŝĐŬĂDŽŶƟũŽͲĂƌƌŝŽƐ José Francisco Cadena-León, Karen Rubí Ignorosa-Arellano,
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Arellano
Aceptado:KR, Cervantes Bustamante R,

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Ana Gabriela Ayala Germán
Correspondencia
EPIDEMIOLOGÍA DE LA DESNUTRICIÓN SEVERA ƐƚĞĂƌơĐƵůŽĚĞďĞĐŝƚĂƌƐĞĐŽŵŽ
[email protected]
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• 7LZV LS TH`VY WYLKPJ[VY KL
JVTV #TLZLZ
TVY[HSPKHK 3L]LV
3 H YLOHIPSP[HJP}U,ULZ[LHY[xJ\SV J\SHYUVZLUMVJHYLTVZ
• ;HSSHSVUNP[\K YPLZNVKL :PUYLSHJP}UJVU • +LIPSPKHKT\ZJ\SHY
KLZU\[YPJP}U ZL W\LKL JSHZPÄJHY JVU YLZWLJ[V LU LS THULQV KL LZ[HIPSPaHJP}U
LUMLYTLKHK
ÄN\YH  ,S
• 7SPLN\LZJ\[mULVZ KLZU\[YPJP}U
HSA:[LTWVYHSPKHK`L[PVSVNxH Figura 1 THULQVZL KLZNSVZH LULS • +PZTPU\JP}UKLS
Algoritmo 1 y 2 KLZH
KLZH--
• *PYJ\UMLYLUJPH
*PYJ\UMLYLUJPHKL
KL
KLIYHaV
IYHaV :VJPLJVU}TPJV
YYVSSVPU[LSLJ[\HS
[YHZ[VYUVZKLJVU
[YHZ[VYUVZKLJVU--
Medición estadística K\J[H`HTIPLU[HS • 0UMLJJPVULZ
• AZJVYL
*SHZPÄJHJP}U • +PZM\UZP}UPUT\UVS}
+PZM\UZP}UPUT\UVS}--
Temporalidad Etiología Resultados

-
Parámetros a evaluar (N\KH A:!# • 7tYKPKHKL THZH T\Z
• 7LZV #TLZLZ 3L]LV J\SHY
• ;HSSHSVUNP[\K YPLZNVKL :PUYLSHJP}UJVU • +LIPSPKHKT\ZJ\SHY -
• 7SPLN\LZJ\[mULVZ KLZU\[YPJP}U LUMLYTLKHK
- • +PZTPU\JP}UKLS KLZH
• *PYJ\UMLYLUJPHKLIYHaV :VJPLJVU}TPJV
:
• +PZM\UZP}UPUT\UVS}
+PZM\UZP}UPUT\UVS}--
A:!# NPJH
Tablas de referencia 9LSJP}UJVULUMLY
9LSJP}UJVULUMLY-- • +PZTPUPJP}ULUSH
+PZTPUPJP}ULUSHJPJH
JPJH
JPJH--
4VKLYHKH
• 64:H|VZ *Y}UPJH TLKHK [YPaHJP}U
• *+*H|VZ %TLZLZ 4HSHIZVYJP}UWtY
4HSHIZVYJP}UWtY--
A:!# KPKHKLU\[YPLU[LZL
:L]LYH OPWLYTL[HIVSPZTV

Figura 1. *SHZPÄJHJP}UKLSHKLZU\[YPJP}U
-
- • +PZM\UZP}UPUT\UVS} -
Tablas de referencia A:!# NPJH 195
9LSJP}UJVULUMLY • +PZTPUPJP}ULUSH JPJH
4VKLYHKH -
• 64:H|VZ *Y}UPJH TLKHK [YPaHJP}U
• *+*H|VZ %TLZLZ 4HSHIZVYJP}UWtY
A:!# KPKHKLU\[YPLU[LZL
:L]LYH OPWLYTL[HIVSPZTV

Figura 1. *SHZPÄJHJP}UKLSHKLZU\[YPJP}U

195
:
:
Citations (1) References (18)

... Los exámenes de laboratorio a su ingreso: Na+ 128 mmol/L, K+ 2.8 mmol/L, Cl-93 mmol/L, P 4 mmol/L, Mg 2.3
mmol/L, Ca-12.7 mmol/L, glucosa 111 mg/dl, creatinina 0.24 mg/dl, nitrógeno ureico 5.3 mg/dl, gasometría con pH 7.45,
PO 2 Síndrome de kwashiorkor en un lactante. A propósito de un caso Con base en los hallazgos clínicos y de
laboratorio, se sospechó de síndrome de kwashiorkor y se ingresó a piso de Gastroenterología y Nutrición, para
mejorar su condición clínica e iniciar rehabilitación nutricional. ...

Manifestaciones dermatológicas en una lactante con síndrome de kwashiorkor: Claves para el diagnóstico y
tratamiento oportuno
Article Full-text available
Jul 2023 · Rev Fac Med
Kevin Alexis Hernández Lara · María Teresa García Romero · Alejandra Olvera Suarez · Nuria Francisco Revilla Estivillo

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