NURS 464 Lecture Notes - Lecture 4: Insulin Resistance, Body Mass Index, Gastrointestinal Tract
Document Summary
Need 100-115 kcal/kg/day at 1 month: growth: Increased surface area to mass: development, nutritional recommendations: Breastmilk until 6 months then can start to introduce complementary foods. Need fats bc cns not totally myelinated yet. 50% of calories need to come from fat: fluid- Increased bc greater proportion of water than adults and kidneys don"t concentrate urine to conserve water. Children up to 10kg need 100 ml/kg/day. Children 11-20 kg need 1,000 ml + 50 ml/kg over 10/day. Children greater than 20 kg need 1,500ml+20ml/kg over 20/day: macronutrients, micronutrients. Infant feeding: breastfeeding- recommended exclusively for 6 months, then with complementary foods. Advantages: passive immunity, easily digested bc high in whey protein: formula feeding: need iron fortified formula. Use sippy cup if drinking something other than breast milk. No honey for at least first year bc botulism! Toddler nutritional concepts: physiologic anorexia: metabolism from infancy slows down so child goes a period of time without eating- this is normal.
