Clinical Nutrition Department Practical Manuals

351

Formula Age Company Forms Similac gold 0–6 Abbot Liquid / powder months Abbot baby 1 Nestle Powder Similac gold 2 6 – 12 Nestle Liquid / powder months Nan OPTIPRO 1 Powder 0–6 Nan OPTIPRO 2 months 6 – 12 months 352

Containing partially hydrolysed protein Not consider for hypoallergenic and are not intended to be used for treatment of any allergic condition or disease Contain reduced or no lactose Type of protein hydrolysed and degree differs from company to other Recommended for: infant with digestive discomfort Comfort and hypoallergic For- mula! 353

354

355

356

357

358

359

360

361

362

Formula Age Density Company Forms Pediasure >1 year 1 kcal / 1ml abbot Liquid/powder Pediasure plus fiber >1 year 1.5 kcal / 1 ml Abbot Liquid Exeeda >1 year 1kcal / 1 ml Ronesca Liquid /powder Nutrini 1-6 year 1.5 kcal / ml Nutricia Liquid Formula Age Density Company Forms Pediasure Pediasure plus fiber >1 year 1 kcal / 1ml abbot Liquid/powder >1 year 1.5 kcal / 1 ml Abbot Liquid Exeeda >1 year 1kcal / 1 ml Ronesca Nutrini 1-6 year 1.5 kcal / ml Nutricia Liquid /powder Liquid 363

Formula Age Density Company Forms Pediasure peptide >1 year 1 kcal / 1ml abbot Liquid >1 year 1 kcal / 1 ml nestle Powder Peptamin Jr 364

Formula Age Density Company Forms Neocate >1 year 1 kcal / 1ml abbot powder Formula Age Density Company Forms Monogen > 1 year .74 kcal / ml Nutricia Powder ketocal > 1year 1 kcal / ml Nutricia Powder 365

Modular Source of Age Forms MCT FAT Birth …. liquid Carbs Birth …. Powder Polycose , Fantomalt >3 years Powder Protifar Protein >5 years Powder Protein Bemeprotein 366

- Screening tools - Pediatric terminology - Domains of pediatric nutrition assessment - Anthropometric - Dynamism of growth - Duration of nutritional abnormalities - Etiology - Impact of nutritional abnormalities 367

368

369

370

371

372

373

374

375

376

377

378

379

380

381

382

Pediatric anthropometric data –plotting Weight Percentile of weight – for Ideal Bwt –for- Percentage 3.7 kg <3rd %tile 5.6 kg 66 % Height Percentage Percentile of Height – For Ideal Ht – for – for IHt –age 54.5 cm –age age Weight / 94% Height On 10th %tile 58 cm 3.9 kg Percentile of Weight / Percentage of BMI Height Weight / Height 25 – 50th %tile 95 % Percentile of BMI 383

384

Pediatric anthropometric data –plotting Weight Percentile of weight Ideal Bwt –for Percentage for IBwt – – for age -age age 24.5 kg on 25th %tile 28.5 kg 86 % Height Percentile of Height Ideal Ht – for Percentage for IHt – – For –age – age age 142 cm 90 – 95th %tile 132 cm 107 % Weight / Percentile of Percentage of Weight / Height Weight / Height Height 36 kg 5 – 10 th %tile 68 % BMI Percentile of BMI 12.15 kg/m2 On 3rd %tile 385

386

387

388

  kcal/kg PRO g/kg Age (yrs) 108 2.2 98 1.6 0-0.5 102 1.2 0.5-1.0 90 1.1 70 1.0 1-3 55 1.0 4-6 45 0.9 7-10 40 0.8 11-14 47 1.0 15-18 40 0.8 19-24 38 0.8 11-14 15-18 19-24 389

390

Spina Bifida Calories need -Children older than 8 years who are minimal- 9 – 11 kcal / cm ly active, To maintain weight 7 kcal / cm -Children older than 8 years who are minimally 50 % of DRI /RDA for active, to promote weight loss age -> 1year Prader-Willi Syndrome Calories need For all children and adolescents: 10-11 kcal/cm -To maintain growth within growth channel 8.5 kcal/cm -For slow weight loss and to support linear Cerebral Palsy (ages 5-12 years) Calories need -Ambulatory, Mild to Moderate activity 13.9 kcal/cm -No ambulatory, severely restricted activity 11.1 kcal/cm -Athetoid cerebral palsy Up to 600 kcal / day Cystic Fibrosis Calculate ideal weight based on height, using the pediatric growth chart. Multiply by the child’s EER for age. Multiply by a factor of 1.3-1.5 (depending on the severity of disease) to compensate for increased energy Down syndrome Calories need 16.1 kcal / cm ht Males 14.3 kcal/cm ht Females Weight in Kg Fluid need 1 – 10 kg 100 ml / kg 11 – 20 kg 1000 ml + 50 ml / kg for each kg >10 kg >20 kg 1500 ml + 20 ml / kg for each kg >20 kg 391

Weight in Kg Body surface Area Kg x 0.05 + 0.05 <5 kg Kg x 0.04 + 0.1 5 – 10 kg Kg x 0.03 +.2 10 – 20 kg Kg x0.02 + 0.4 20 – 40 kg Kg x 0.01+0.8 >40 kg Age Protein Requirement 0 – 2 years 2 -3 gm / kg / day 2 – 13 years 13 – 18 y 1.5 – 2 gm / kg / day 1.5 gm/ kg / day 392

- 393

394

Growth management Nutritional Requirement Feeding plan and formula 395

396

397

398

399

400