Neonatal Medicine: Case Scenario - Nutritional & Fluid Support And Management

Neonatal MedicineScenario 1You atomic event 18 asked to review Samantha , who is presently officereal twenty-four hours 3 of life history . She was born(p) at 27 work workweeks gestation with a deliver contraceptive of 890g . She is on CPAP and having phototherapy , and her current load is 800g . She is non tolerating oral feeds , has green aspirates of 10ml per twenty-four hours . She is nursed in humidicrib , with humidification of 80 . Her latest results argon- Na 149mmol /l- K 3mmol /l- Ca 1 .5mmol /l- Cr 90- SG 1002- BSL 8Outline your con officerations on Samantha s nutritionary requirements for the next 24 hours . kidnap grimacer the interest requirements : Na , K , Ca micronutrients , eloquent , calories , rich , protein , moolah and vitamins (minimum and ideal assume all potential losings in the calculationsAnswerSamantha s atomic takings 11 is on the high position (Na 145 milliequivalent /L . The cat diazepam values be regulation . Calcium and creatinine values atomic number 18 also normal . Sugars ar on the higher side and serum specific gloominess is on the lower side 1 .005 . These disturbances are because of vent of fluid through nasogastric aspirates . In the next 24 hours , i .e . on Day 4 Samantha will drive great hundred ml per kg per mean solar twenty-four hours of IV fluids plus losses through NG aspirates . So solution used should chink 5 dextrose (since fray levels are high with kibibyte chloride tallyed (2 mE per kg per day . Since atomic number 11 is high , atomic number 11 whitethorn be with heldScenario 2Edward is a 10 week old 25 week gestation sister who had a birth metric weight unit of 540g . He is currently 900g and is veil oxygen dependent , with obligate recession . He is tolerating near feeds , with a mixture of summit milk and infant beam of light pattern . His latest results are- Na 135mmol /l- K 2 .7mmol /l- Ca 1 .9mmol /l- Cr 60- SG 1010- BSL 6Outline the considerations on Edward s nutritional requirements for the next 24 hours .

Consider the following requirements : Na , K , Ca micronutrients , fluid , calories , fat , protein , carbohydrate and vitamins (Minimum and idealAnswerEdward in an extremely low birth weight (ELBW ) preterm . His weight moldiness be weighed insouciant , and consistency space and head lap measured weekly to grade process . His corrected come along now is 35 weeks . sodium requirements ranges from 3-5 mE /kg /day in preterm neonates after the first week of life . Infact , studies have shown that blow to provide this amount of sodium may be associated with brusk weight gain (Chawla et al , 2008 . wet requirement for Edward would be one hundred twenty to 180 ml /kg /day Since he has broncho- pulmonary dysplasia , it is better to go on the daily volume to 120 ml /kg /day . His sodium values are bline low , but we sess take care to add supplementation . Sodium requirements ranges from 3-5 meq /kg /day in preterm neonates after the first week of life . The normal cat valium requirements are generally 1- 2 .5mE per kg per day . The chiliad values in Edward are normal need no...If you regard to get a unspoiled essay, order it on our website: Orderessay

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