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Bone health Prevention: Vitamin is typically 400 IU/day from birth to 12 months of age independent of their mode of feeding Beyond 12 months of age, all children and adults need 600 IU/day through diet and/or supplementation. Clinical Features of Nutritional Rickets: Wrist ankle swelling Delayed...

Case for fat overload syndrome 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for?

Acute Care Case Study: GI Sepsis -- A video lecture through OpenPediatrics Caring for a Central Line at Home -- An educational video series for families & caregivers HPN Fellow Training Video

Coping can occur in a variety of styles. Family members at different developmental stages. Previous context and history with illness. Grieving loss of anticipated childhood (without illness). Ambivalence between craving choices and craving guidance. Coping with diagnosis can often mirror grief cycle...

Discharge Criteria for new HPN referral Patient selection: 2 weeks before discharge HPN Team consulted by primary service. Primary GI, inpatient nutrition attending and inpatient dietitian agrees to referral. Defined indication for HPN (e.g., SBS, severe malabsorption, fistula, GI obstruction, IBD...

Parenteral Amino Acids Solutions Fluids & Electrolyte Disorders (including renal complications) Micronutrient Disorders Iron Deficiency Anemia (including travenous iron) Pharmacy Reconciliation (including stability issues) Growth & Development Bone Health Body Composition Specific Digestive...

Central line occlusion Review of the Line History (These questions are relevant in determining appropriate treatment of the occlusion.) Complete the line history before activating the algorithm. What happened immediately before the line occluded? · Was IV fluid infusing? · Was the line used for...

Assessment of hydration - Heart rate (bpm) o Newborn – 3 months: 85 - 205 o 3 months – 2 years: 100 - 190 o 2 years to 10 years: 60 - 140 o >10 years: 60 - 100 - Weight o Infant scale age o Standing scale age >2 year o Helpful to document which scale was used for consistency - Physical exam findings...

Malnutrition Waterlow Criteria (wt/ht % std = degree of wasting) 80 % - 89 % Mild 70 % - 79 % Moderate Severe 90 - 110 Normal Variation 110 - 120 Overweight > 120 Obese Malnutrition Symptoms: Irritability Apathy Decreased social responsiveness Anxiety Attention deficits Malnutrition physical signs...

Protein Needs Weight (kg) Protein (g/kg/day) 0.0-5.0 2.0-3.5 5.0-20.0 1.0-2.5 20.0-40.0 1.0-2.0 >40.0 0.8-2.0 (max 150 g/day) Not all amino acid solutions are the same Amino Acids: Aminosyn 10% Trophamine 10% Prosol 20% Clinisol 15% Travasol 1 0% FreAmine 10% Primene 10% Aminosyn II 15% B Bruan 15%...