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학습 자료 둘러보기 →When a child develops severe mucositis and refuses oral intake, assess for rapid weight loss. A loss of 5% body weight in one week indicates acute malnutrition risk and the need to bypass the oral route.
The priority is to collaborate with the healthcare team to initiate parenteral nutrition (PN). This delivers essential calories, protein, and lipids intravenously, preventing further catabolism while the gut is non-functional.
Simultaneously, provide comprehensive oral care using non-irritating solutions to maintain mucosal integrity, prevent secondary infection, and promote comfort without causing additional trauma.
Do not rely solely on topical anesthetics or dietary encouragement when weight loss is documented. These are adjuncts, not definitive treatments, for a child with a non-functional oral route.
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