Formula Flashcards
Modulars
protein: meet protein needs with low calories- CP, neuromuscular disorder
carb/fat: meet high calorie needs with out giving excess protein- CHD, renal disease
Adult formulas
consider when higher percent protein is needed- CP, neuromuscular disorder
Partially Hydrolyzed Protein formula
partially hydrolyzed 100% whey protein have been studied and research demonstrates that it may decrease the risk of atopic dermatitis in infants with a family history of allergic disease.
not hypoallergenic and are not intended to be used for treatment of any allergic condition or disease.
soy-based formulas
Indications for soy-based formula are infants with galactosemia or hereditary lactase deciency (rare), or if a vegetarian human milk substitute is requested.
supplemented with methionine to make it a complete protein source.
fortified with iron and are lactose-free.
higher calcium and phosphorus than standard cow’s milk-based formulas because of reduced bioavailability secondary to phytates.
Premature or Low birth weight formulas
milk-based and designed to meet the special nutrition needs of preterm infants (born less than 37 weeks gestation) and/or infants born less than 1500 g (which is considered very low birth weight [VLBW]) while in the hospital, if human milk is not available.
increased protein, carbohydrate blends of lactose and glucose polymers, fat blends containing a portion of fat as medium-chain triglycerides (MCTs) to promote fat absorption, and increased calcium and phosphate to promote net mineral retention and bone mineralization.
Premature discharge formula
milk-based with higher levels of calcium and phosphorus than standard term infant formulas
use of preterm discharge formulas to postnatal age of 9 to 12 months corrected age or until weight for length is maintained above the 25th percentile.
Extensively Hydrolyzed Protein formula
considered hypoallergenic, meaning that most children with cow’s milk protein sensitivity will not have an allergic reaction to these formulas
have higher osmolarity
recommended in infants intolerant of cow’s milk and soy proteins, and those with significant malabsorption due to gastrointestinal or hepatobiliary disease (eg, cystic fibrosis, short gut syndrome, biliary atresia, cholestasis, protracted diarrhea)
Amino Acid based formula
indicated in extreme protein hypersensitivity or when intolerance symptoms persist on an extensively hydrolyzed formula
include eosinophilic gastrointestinal disorders and transitioning from parenteral to enteral feedings and short bowel syndrome (SBS)