Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio
We hypothesized that parenteral delivery of calcium and phosphorus in a ratio of 1.7:1 would promote retention of these minerals and decrease urinary phosphorus excretion, and that delivery of increased amounts of this ratio would result in higher retentions. Serum levels and retention of calcium an...
Gespeichert in:
| Veröffentlicht in: | The Journal of pediatrics 1989, Vol.114 (1), p.115-119 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 119 |
|---|---|
| container_issue | 1 |
| container_start_page | 115 |
| container_title | The Journal of pediatrics |
| container_volume | 114 |
| creator | Pelegano, James F. Rowe, Jonelle C. Carey, Dennis E. LaBarre, Donna J. Raye, John R. Edgren, Karl W. Horak, Eva |
| description | We hypothesized that parenteral delivery of calcium and phosphorus in a ratio of 1.7:1 would promote retention of these minerals and decrease urinary phosphorus excretion, and that delivery of increased amounts of this ratio would result in higher retentions. Serum levels and retention of calcium and phosphorus were measured as calcium intake was increased from 36 to 76 mg/kg/day in 10 mg increments and as phosphorus intake was adjusted to maintain the 1.7:1 ratio. Five different infants were studied at each of the five levels. The amounts of calcium and phosphorus retained increased steadily and at level 5 were 71.8±1.2 mg/kg/day and 40.9±1.7 mg/kg/day, respectively. Over the five levels the average percent calcium retention was 91.4±4.2 and the average percent phosphorus retention was 89.1±7.7. The provision of parenteral calcium and phosphorus in a 1.7:1 ratio resulted in a balanced retention of both minerals over the range studied. The use of this calcium/phosphorus ratio appears to be appropriate for the preterm infant receiving total parenteral nutrition. |
| doi_str_mv | 10.1016/S0022-3476(89)80617-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78840431</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022347689806171</els_id><sourcerecordid>78840431</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-442ade13f5ff9bd684e58ea0e9db03f3294f689a2807a2144fe9f1fb4f50cbaf3</originalsourceid><addsrcrecordid>eNqFkc1u1DAURi0EKkPhBZAqZYFQWYReJ57E7gahij-pEoth1taNc90aJXGwE6S-Ak9dZzKM2LGwvLjnO7a-y9gFh_cceHW1AyiKvBR1dSnVOwkVr3P-hG04qDqvZFk-ZZsT8py9iPEnACgBcMbOCqG4lNWG_dm5fu4mHMjPMXODnaPzQ-ZtZrAzbu4zHNpsvPcxnXBAshEDDRMF7LJhnoKbloT1IRsD9TjNgRYRDlO8zvaRFtl4_5C8nb9z5q_46h9pwOR4yZ5Z7CK9Ot7nbP_504-br_nt9y_fbj7e5kaAnHIhCmyJl3ZrrWraSgraSkIg1TZQ2rJQwlZSYSGhxoILYUlZbhtht2AatOU5e7t6x-B_zRQn3btoqOvWEnQtpQBR8gRuV9AEH2Mgq8fgegwPmoNedqAPO9BLwVoqfdiBXnIXxwfmpqf2lDqWnuZvjnOMqQwbcDAunrCaC1VCnbDXK2bRa7wLCdnvpALgB8eHdUipqd-Ogo7G0WCodYHMpFvv_vPLR9fXr9M</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78840431</pqid></control><display><type>article</type><title>Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Pelegano, James F. ; Rowe, Jonelle C. ; Carey, Dennis E. ; LaBarre, Donna J. ; Raye, John R. ; Edgren, Karl W. ; Horak, Eva</creator><creatorcontrib>Pelegano, James F. ; Rowe, Jonelle C. ; Carey, Dennis E. ; LaBarre, Donna J. ; Raye, John R. ; Edgren, Karl W. ; Horak, Eva</creatorcontrib><description>We hypothesized that parenteral delivery of calcium and phosphorus in a ratio of 1.7:1 would promote retention of these minerals and decrease urinary phosphorus excretion, and that delivery of increased amounts of this ratio would result in higher retentions. Serum levels and retention of calcium and phosphorus were measured as calcium intake was increased from 36 to 76 mg/kg/day in 10 mg increments and as phosphorus intake was adjusted to maintain the 1.7:1 ratio. Five different infants were studied at each of the five levels. The amounts of calcium and phosphorus retained increased steadily and at level 5 were 71.8±1.2 mg/kg/day and 40.9±1.7 mg/kg/day, respectively. Over the five levels the average percent calcium retention was 91.4±4.2 and the average percent phosphorus retention was 89.1±7.7. The provision of parenteral calcium and phosphorus in a 1.7:1 ratio resulted in a balanced retention of both minerals over the range studied. The use of this calcium/phosphorus ratio appears to be appropriate for the preterm infant receiving total parenteral nutrition.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(89)80617-1</identifier><identifier>PMID: 2491886</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>ALIMENTACION PARENTERAL ; ALIMENTATION ENTERALE ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; CALCIO ; CALCIUM ; Calcium - administration & dosage ; Calcium - pharmacokinetics ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; FOSFORO ; Humans ; Infant, Low Birth Weight - metabolism ; Infant, Newborn ; Infant, Premature - metabolism ; INFANTES ; Intensive care medicine ; MADUREZ PRECOZ ; Medical sciences ; NOUVEAU-NE ; ORINA ; Parenteral Nutrition, Total ; PHOSPHORE ; Phosphorus - administration & dosage ; Phosphorus - pharmacokinetics ; PREMATURITE ; SERUM SANGUIN ; SUERO SANGUINEO ; URINE</subject><ispartof>The Journal of pediatrics, 1989, Vol.114 (1), p.115-119</ispartof><rights>1989 The C. V. Mosby Company</rights><rights>1989 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-442ade13f5ff9bd684e58ea0e9db03f3294f689a2807a2144fe9f1fb4f50cbaf3</citedby><cites>FETCH-LOGICAL-c408t-442ade13f5ff9bd684e58ea0e9db03f3294f689a2807a2144fe9f1fb4f50cbaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3476(89)80617-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,4010,27904,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7149307$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2491886$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pelegano, James F.</creatorcontrib><creatorcontrib>Rowe, Jonelle C.</creatorcontrib><creatorcontrib>Carey, Dennis E.</creatorcontrib><creatorcontrib>LaBarre, Donna J.</creatorcontrib><creatorcontrib>Raye, John R.</creatorcontrib><creatorcontrib>Edgren, Karl W.</creatorcontrib><creatorcontrib>Horak, Eva</creatorcontrib><title>Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>We hypothesized that parenteral delivery of calcium and phosphorus in a ratio of 1.7:1 would promote retention of these minerals and decrease urinary phosphorus excretion, and that delivery of increased amounts of this ratio would result in higher retentions. Serum levels and retention of calcium and phosphorus were measured as calcium intake was increased from 36 to 76 mg/kg/day in 10 mg increments and as phosphorus intake was adjusted to maintain the 1.7:1 ratio. Five different infants were studied at each of the five levels. The amounts of calcium and phosphorus retained increased steadily and at level 5 were 71.8±1.2 mg/kg/day and 40.9±1.7 mg/kg/day, respectively. Over the five levels the average percent calcium retention was 91.4±4.2 and the average percent phosphorus retention was 89.1±7.7. The provision of parenteral calcium and phosphorus in a 1.7:1 ratio resulted in a balanced retention of both minerals over the range studied. The use of this calcium/phosphorus ratio appears to be appropriate for the preterm infant receiving total parenteral nutrition.</description><subject>ALIMENTACION PARENTERAL</subject><subject>ALIMENTATION ENTERALE</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>CALCIO</subject><subject>CALCIUM</subject><subject>Calcium - administration & dosage</subject><subject>Calcium - pharmacokinetics</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>FOSFORO</subject><subject>Humans</subject><subject>Infant, Low Birth Weight - metabolism</subject><subject>Infant, Newborn</subject><subject>Infant, Premature - metabolism</subject><subject>INFANTES</subject><subject>Intensive care medicine</subject><subject>MADUREZ PRECOZ</subject><subject>Medical sciences</subject><subject>NOUVEAU-NE</subject><subject>ORINA</subject><subject>Parenteral Nutrition, Total</subject><subject>PHOSPHORE</subject><subject>Phosphorus - administration & dosage</subject><subject>Phosphorus - pharmacokinetics</subject><subject>PREMATURITE</subject><subject>SERUM SANGUIN</subject><subject>SUERO SANGUINEO</subject><subject>URINE</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAURi0EKkPhBZAqZYFQWYReJ57E7gahij-pEoth1taNc90aJXGwE6S-Ak9dZzKM2LGwvLjnO7a-y9gFh_cceHW1AyiKvBR1dSnVOwkVr3P-hG04qDqvZFk-ZZsT8py9iPEnACgBcMbOCqG4lNWG_dm5fu4mHMjPMXODnaPzQ-ZtZrAzbu4zHNpsvPcxnXBAshEDDRMF7LJhnoKbloT1IRsD9TjNgRYRDlO8zvaRFtl4_5C8nb9z5q_46h9pwOR4yZ5Z7CK9Ot7nbP_504-br_nt9y_fbj7e5kaAnHIhCmyJl3ZrrWraSgraSkIg1TZQ2rJQwlZSYSGhxoILYUlZbhtht2AatOU5e7t6x-B_zRQn3btoqOvWEnQtpQBR8gRuV9AEH2Mgq8fgegwPmoNedqAPO9BLwVoqfdiBXnIXxwfmpqf2lDqWnuZvjnOMqQwbcDAunrCaC1VCnbDXK2bRa7wLCdnvpALgB8eHdUipqd-Ogo7G0WCodYHMpFvv_vPLR9fXr9M</recordid><startdate>1989</startdate><enddate>1989</enddate><creator>Pelegano, James F.</creator><creator>Rowe, Jonelle C.</creator><creator>Carey, Dennis E.</creator><creator>LaBarre, Donna J.</creator><creator>Raye, John R.</creator><creator>Edgren, Karl W.</creator><creator>Horak, Eva</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1989</creationdate><title>Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio</title><author>Pelegano, James F. ; Rowe, Jonelle C. ; Carey, Dennis E. ; LaBarre, Donna J. ; Raye, John R. ; Edgren, Karl W. ; Horak, Eva</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-442ade13f5ff9bd684e58ea0e9db03f3294f689a2807a2144fe9f1fb4f50cbaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>ALIMENTACION PARENTERAL</topic><topic>ALIMENTATION ENTERALE</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>CALCIO</topic><topic>CALCIUM</topic><topic>Calcium - administration & dosage</topic><topic>Calcium - pharmacokinetics</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>FOSFORO</topic><topic>Humans</topic><topic>Infant, Low Birth Weight - metabolism</topic><topic>Infant, Newborn</topic><topic>Infant, Premature - metabolism</topic><topic>INFANTES</topic><topic>Intensive care medicine</topic><topic>MADUREZ PRECOZ</topic><topic>Medical sciences</topic><topic>NOUVEAU-NE</topic><topic>ORINA</topic><topic>Parenteral Nutrition, Total</topic><topic>PHOSPHORE</topic><topic>Phosphorus - administration & dosage</topic><topic>Phosphorus - pharmacokinetics</topic><topic>PREMATURITE</topic><topic>SERUM SANGUIN</topic><topic>SUERO SANGUINEO</topic><topic>URINE</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pelegano, James F.</creatorcontrib><creatorcontrib>Rowe, Jonelle C.</creatorcontrib><creatorcontrib>Carey, Dennis E.</creatorcontrib><creatorcontrib>LaBarre, Donna J.</creatorcontrib><creatorcontrib>Raye, John R.</creatorcontrib><creatorcontrib>Edgren, Karl W.</creatorcontrib><creatorcontrib>Horak, Eva</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pelegano, James F.</au><au>Rowe, Jonelle C.</au><au>Carey, Dennis E.</au><au>LaBarre, Donna J.</au><au>Raye, John R.</au><au>Edgren, Karl W.</au><au>Horak, Eva</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1989</date><risdate>1989</risdate><volume>114</volume><issue>1</issue><spage>115</spage><epage>119</epage><pages>115-119</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>We hypothesized that parenteral delivery of calcium and phosphorus in a ratio of 1.7:1 would promote retention of these minerals and decrease urinary phosphorus excretion, and that delivery of increased amounts of this ratio would result in higher retentions. Serum levels and retention of calcium and phosphorus were measured as calcium intake was increased from 36 to 76 mg/kg/day in 10 mg increments and as phosphorus intake was adjusted to maintain the 1.7:1 ratio. Five different infants were studied at each of the five levels. The amounts of calcium and phosphorus retained increased steadily and at level 5 were 71.8±1.2 mg/kg/day and 40.9±1.7 mg/kg/day, respectively. Over the five levels the average percent calcium retention was 91.4±4.2 and the average percent phosphorus retention was 89.1±7.7. The provision of parenteral calcium and phosphorus in a 1.7:1 ratio resulted in a balanced retention of both minerals over the range studied. The use of this calcium/phosphorus ratio appears to be appropriate for the preterm infant receiving total parenteral nutrition.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>2491886</pmid><doi>10.1016/S0022-3476(89)80617-1</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3476 |
| ispartof | The Journal of pediatrics, 1989, Vol.114 (1), p.115-119 |
| issn | 0022-3476 1097-6833 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78840431 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | ALIMENTACION PARENTERAL ALIMENTATION ENTERALE Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences CALCIO CALCIUM Calcium - administration & dosage Calcium - pharmacokinetics Emergency and intensive care: neonates and children. Prematurity. Sudden death FOSFORO Humans Infant, Low Birth Weight - metabolism Infant, Newborn Infant, Premature - metabolism INFANTES Intensive care medicine MADUREZ PRECOZ Medical sciences NOUVEAU-NE ORINA Parenteral Nutrition, Total PHOSPHORE Phosphorus - administration & dosage Phosphorus - pharmacokinetics PREMATURITE SERUM SANGUIN SUERO SANGUINEO URINE |
| title | Simultaneous infusion of calcium and phosphorus in parenteral nutrition for premature infants: Use of physiologic calcium/phosphorus ratio |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T10%3A36%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Simultaneous%20infusion%20of%20calcium%20and%20phosphorus%20in%20parenteral%20nutrition%20for%20premature%20infants:%20Use%20of%20physiologic%20calcium/phosphorus%20ratio&rft.jtitle=The%20Journal%20of%20pediatrics&rft.au=Pelegano,%20James%20F.&rft.date=1989&rft.volume=114&rft.issue=1&rft.spage=115&rft.epage=119&rft.pages=115-119&rft.issn=0022-3476&rft.eissn=1097-6833&rft.coden=JOPDAB&rft_id=info:doi/10.1016/S0022-3476(89)80617-1&rft_dat=%3Cproquest_cross%3E78840431%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78840431&rft_id=info:pmid/2491886&rft_els_id=S0022347689806171&rfr_iscdi=true |