Nutritional Supplementation

From the online paediatrician's encyclopaedia

Jump to: navigation, search

Paediatric patients may require nutritional supplementation.


See also these assocated articles:

Causes of poor nutrition can broadly be divided into:

  • Reduced intake
  • Malabsorption
  • Increased energy requirements

Common examination cases:

  • Cystic fibrosis
  • Congenital heart disease
  • Bronchopulmonary dysplasia
  • Chronic inflammatory bowel disease eg. Crohn's disease
  • Severe neurological handicap
  • Coeliac disease
  • Immunodeficiency
  • Cow's milk protein intolerance

Normal Infant Formula Feed Composition

  • Concentration = 13% approximately
    • 65 kcal / 100ml
    • 1.5g protein / 100ml

Methods of supplementing infant nutrition

Feed supplements

  • Carbohydrate supplements, eg. glucose polymers (eg. Maxijul)
  • Lipid supplements: emulsions (eg. Calogen, Liquigen)
  • Combined fat and carbohydrate supplements (eg. Duocal)
  • Protein supplements: whole, peptids or amino acids (eg. Maxipro)

Concentration of feeds

  • Increased feed to water mix, eg. to 15%
    • Note: this concentrates all components in the feed. eg. including electrolytes

Commercial high calorie density milk

  • eg. Infatrini = 100 kcal / 100ml with adjusted electrolyes and minerals, etc.
Personal tools