SAR HS 281 Chapter Notes - Chapter 9-10: Low Birth Weight, Indirect Calorimetry, Health System
23 Jul 2018
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Health care system better at saving babies than preventing lbw, preterm, chronic conditions. Smallest living newborns: 501-600 grams (1 lb 2 oz-1 lb 5 oz)-31% chance of survival: 23 weeks of gestation. 901-1000 grams (2 lb-2 lb 3 oz): 29 weeks gestation, 88% survival. Nutrition assessments for: infants born before 34 weeks, infants born with consequences of abnormal development (heart malformation, alcohol exposure, down syndrome), infants at risk for chronic health problems (seizures, cocaine babies) Families of infants with special health care needs. Rdas based on needs for healthy kids-not accurate; dris used instead so eer and ai considered. May be more, less or equal to 570 kcal/day. Caloric needs based on dri: cleft lip/palate, pku. Most commonly caloric needs are increased: indirect calorimetry. Extra calories needed for infections, fever, difficulty breathing, temperature regulation, recovery from surgery and complications. Premature infants before 34 weeks-120 cal/kg: range of 95-165 kcal/kg: should gain 15 grams/day.
