What is the energy requirement for children on peritoneal dialysis with dextrose absorption?

For children undergoing peritoneal dialysis with dextrose absorption, their energy requirements are indeed often higher than typical maintenance levels due to the stress of kidney failure and the need to compensate for the calories lost during the dialysis process. However, this scenario specifically implicates that there may be adjustments based on the absorption of dextrose, which is commonly present in the dialysate.

In this context, dextrose provides an additional source of calories that the child absorbs while undergoing dialysis. Therefore, the energy needs can be lower than the standard Dietary Reference Intake (DRI), as part of the energy requirements can be met through the absorbed glucose from the dialysis fluid. Consequently, the children may require fewer calories from dietary intake to meet their energy needs when dextrose absorption is taken into account.

Thus, the correct choice reflects the nuanced understanding of energy utilization and absorption dynamics in children receiving peritoneal dialysis, acknowledging that their energy intake could be lower than the established dietary reference levels due to the contribution from the dextrose in the dialysis solution.