PMID: 2119443Jul 1, 1990Paper

Enteral feeding in the hypoalbuminemic patient

JPEN. Journal of Parenteral and Enteral Nutrition
M L PattersonL B Pemberton

Abstract

Previous studies have correlated intolerance of isotonic, intact protein enteral solutions with hypoalbuminemia. The purpose of this retrospective study was to determine whether the level of serum albumin (SA) influenced tolerance of such an enteral nutrient solution (ENS). All patients who received Entrition during 1987 for a minimum of 48 hr were studied for the first 10 days of enteral feeding. Documentation included SA, medications, stool frequency, gastric residuals (GR), and daily caloric intake. ENS intolerance was defined as greater than 3 stools/day for greater than 48 hr or GR greater than twice the hourly infusion rate for greater than 48 hr. Patients were categorized into two groups: those with SA greater than or equal to 2.5 g/dl (group I) and those with SA less than 2.5 g/dl (group II). Of 88 patients studied, 48 (86%) in group I and 28 (88%) in group II tolerated the ENS. Eight (14%) in group I and 4 (12%) in group II experienced ENS intolerance. There was no statistically significant difference in the frequency of ENS intolerance between these two groups (p less than 0.05). Also, 97% of all those with a SA less than 2.5 g/dl were fed 80% or more of their estimated caloric requirements. We concluded that ENS tole...Continue Reading

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Citations

Jul 1, 1993·International Journal of Antimicrobial Agents·G BleichnerJ P Sollet
May 15, 2002·Critical Reviews in Oncology/hematology·Marcello De CiccoCristina Santantonio
Apr 23, 2008·Journal of Advanced Nursing·Melissa A L ThorsonKay Savik
Apr 1, 1994·The Annals of Pharmacotherapy·R G D'Angio
May 14, 2003·Clinical Nursing Research·Kelly J LebakKathleen M Patten-Marsh
Mar 1, 1995·JPEN. Journal of Parenteral and Enteral Nutrition·R L Koretz
Nov 1, 1991·JPEN. Journal of Parenteral and Enteral Nutrition·A L Buchman
Oct 6, 1997·The Journal of Trauma·R L SheridanJ J Cunningham
Jun 1, 1998·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Vincent W Vanek
Jul 16, 2008·Arquivos De Gastroenterologia·Sérvulo Luiz BorgesJulio Maria Fonseca Chebli

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