Enteral nutrition Flashcards
trophic feeds: when
- first 24-48hrs
advancing feeds:
* if bw< 1000g
first 3 days 0-0-0 at:
- 20 mL/kg/day
day 4 at:
- 40 ml/kg/day
then + 20 daily
til 160
advance feeds:
* bw 1-1.5kg
- d1: 20 ml/kg/day
- d2: 40
- d3: 60
- +20 daily
til 160
advance of feeds:
* bw 1.5- 2.0 kg
- 30
- 60
- 90
- 120
- 150
- 160
(ml/kg/day)
weight adjusting feeds
goal x weight / 8 = __mL q3 given in a day
goal in mL/kg/d
tube feeding: when?
oro or naso gastric
also called gavage
trophic feeds: what are
subnutritional quantities of milk feeds (maternal or donor milk) given during the first days of life to stimulate the development of the immature GI tract and supplement parenteral
also called:
* hypocaloric
* trickle feedings
* low-volume enteral substrate
* GI priming
if SGA < 3% on Fenton (CCHS protocol)
- 10 ml/kg/d for first 3 days
- 20
- 30
- (..)
- 160
human milk fortifier (HMF)
* indications
- < 34 w
- < 1800g bw (at cchs < 1250g)
HMF:
* til when?
- discharge or
- until infants reach 3.6 kg
- cchs: >34 weeks
in cchs: at 34w transition to formula or BM