Define Components of Total parenteral nutrition?
Glucose: Initiated at the rate of 6 mg/kg/min and increased upto 12-1.4 mg/kg/min, but care to be taken to prevent hyperglycemia.
Proteins: 3.5-2.0 g/kg/day and increased to 3.5-4.0 g/kg/day, cystiene is considered to be an essential nutrient for preterm infant.
Lipids: The recommendations vary from 0.5-1.0 day to 3.00 g/kg/day.
Electrolytes: Sodium 3.0-4.0 m mol/kg./day and potassium 2.0-3.0 m mol/kg/day.
Vitamins: The suggested parenteral intake of vitamin is:
Vitamins A: 280-5008 mg/kg/day
Vitamin E: 2.8 mg/kg/day
Vitamin K 100 8 mg/kg/day
Vitamin D: 4 8 mg/kg/day
Ascorbic Acid: 25 8 mg/kg/day
Thiamine: 350 8 mg/kg/day
Riboflavin: 150 8 mg/kg/day
Pyridoxine: 180 8 mg/kg/day
Pantothenate: 2.0 8 mg/kg/day
Folate: 56 8 mg/kg/day
Vitamin Bl2 0.3 8 mg/kg/day
From our discussion above, it is evident that feeding the 1BW infant is challenging. Monitoring of the nutritional status of these infants is essential to observe the growth.The various parameters used are daily body weight record, weekly length and head circumference and periodic biochemical parameter assessment. We may end our -discussion by summing up that specialized nutrition needs for preterm and/or low birth weight infants should be carefully monitored for prevention of morbidity and promoting optimal growth and development. Next, we move on to lactose intolerance, which you may recall studying in Unit 14 earlier, is the inability to digest significant amounts of lactose, the major sugar found in milk. This is one of the common problems encountered during childhood. Let us learn the practical significance of lactose intolerance in children.