Rachel Brown
Dietetic Intern 2017
Hurley Medical Center
OUTLINE
Objectives
Patient Overview
Nutrition Assessment
Nutrition Diagnoses
Nutrition Interventions
Research
Conclusion/References
Questions
OBJECTIVES
Sex: Male
Mother: 25 y.o
In-utero:
Maternal preeclampsia
Placenta previa in 2nd trimester
Exposure to THC, tobacco, and opiates
Intrauterine Growth Restriction (IUGR)
After birth:
Preterm
Respiratory distress syndrome
Hypoglycemia
Hypophosphatemia
OVERVIEW:
INTRAUTERINE GROWTH RESTRCTION
Definition:
Rate of fetal growth that is less than normal for the growth potential of a
specific infant.
IUGR infants are at risk for increased rates of mortality, hypothermia, poor
glycemic control, electrolyte imbalances, and necrotizing enterocolitis.
NUTRITION ASSESSMENT:
ANTHROPEMETRICS
Anthropometric Classifications:
Extremely Low Birth Weight (ELBW)
Small for Gestational Age (SGA)
Symmetrical SGA
NUTRITION ASSESSMENT:
GROWTH CHART
Nutrition Recommendations:
Macronutrient:
Parenteral: 90 110kcal/kg 3.2 3.8g protein/kg
Enteral: 110 130kcal/kg 3.8 4.4g protein/kg
Micronutrient:
Parenteral: 400 600 mg Ca gluconate/kg
1 2 mMol Phos/kg 40 160 units vitamin D/kg
Enteral: 100 220 mg Ca/kg 60 140mg Phos/kg
2 4mg Fe/kg 400 units vitamin D/day
NUTRITION INTERVENTION TIMELINE
3. Pharmacologic therapy
Prescribed by Pediatric Endocrinologist
Diazoxide given DOL 14-15, 18-19
NUTRITION INTERVENTION:
HYPOPHOSPHATEMIA