<![CDATA[A 1-year-and-9-month-old male patient was admitted to the Pediatric Intensive Care Unit at Prof. Dr. I.G.N.G. Ngoerah General Hospital with a complex multiorgan condition, including severe acute respiratory distress syndrome, recurrent pneumonia, spasmodic croup, secundum atrial septal defect, and epilepsy. This condition led to high metabolic stress, feeding difficulties, and mild protein-energy malnutrition. This study aimed to provide standardized nutritional care to support metabolic stability, meet increased energy needs, and prevent further nutritional deterioration. A case study was conducted using the Standardized Nutrition Care Process from March 10–17, 2026. Enteral nutrition was administered via nasogastric tube using an amino acid-based formula (Neocate Junior) with a step-up approach to prevent refeeding syndrome, starting from 552.3 kcal and progressing toward 990 kcal. The intervention showed positive outcomes. The patient’s consciousness improved on the first day, and by day 6, energy intake reached 100% of the target, increasing to 80.8% by day 7. Hemoglobin levels improved from 8.7 g/dL to 10.9 g/dL, while body weight remained stable at 9 kg. Gradual enteral nutrition proved effective in supporting recovery and preventing catabolism in critically ill pediatric patients.]]>
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