Nutritional Strategies for the Very Low Birthweight Infant

di Adamkin • 2009 • dettagli prodotto

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DESCRIZIONE

The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to summarise key data and management strategies, Nutritional Strategies for the Very Low Birthweight Infant is an invaluable guide for all healthcare professionals caring for premature babies.Table of Contents DedicationAcknowledgementsForewordGlossary1. Introduction2. Fluid and electrolytes management (Na, Cl and K)3. Energy4. Intravenous carbohydrates5. Intravenous lipids6. Early total parenteral nutrition (TPN)7. Parenteral calcium, phosphorous, magnesium and Vitamin D8. Parenteral vitamins9. Trace elements and iron10. Parenteral nutrition guide11. Parenteral nutrition-associated cholestasis in VLBW infants12. Enteral nutrition13. Enteral feeding guidelines pPracticum14. Optimizing enteral nutrition: protein15. Human milk16. Premature infant formulas17. Standard infant formulas18. Soya formulas19. Protein hydrolysate formulas20. Enteral calcium, phosphorus, magnesium and Vitamin D21. Iron22. Hypercaloric feeding strategy23. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes24. Nutritional assessment25. Post discharge strategies26. Nutritional management of preterm infants with short bowel syndrome27. SummaryIndex.