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Premature Infant Case Study
Nutrition Assessment of Preterm Infant
Patient History: A 980-gram female infant was born at 27 weeks gestation and classified as an appropriate for gestational age premature infant on a premature growth chart. Length was 36 cm, and head circumference was 25 cm. Today, the patient is 21 days old or 30 weeks postmenstral age (PMA) Patient had respiratory distress syndrome, which required intubation and surfactant therapy. Patient is now on room air.
Nutrition History: Patient was on parenteral nutrition, but is now on total enteral feedings of human milk from her mother at 160mL/kg.
Head Circumference: 27 cm Premature Infant Case Study
Nutrient intake is inadequate for the premature infant.
As discussed on team rounds, human milk fortifier will be added to human milk to provide 24kcal/oz milk. At 160mL/kg, the infant will receive 128 kcal/kg and 3g protein/kg. The fortifier will bring the nutrient content up to meet the guidelines for prematurity.
How did weight, length, and head circumference plot at birth and at 3 weeks or 30 weeks gestation on the Lubchenco growth chart?
At the 30 weeks gestation the child is just over the 90th percentile, for length he’s at the 50th percentile, 25th percentile for head circumference.
What are the kilocalorie and protein goals per kg for this infant? Premature Infant Case Study
1.09kg x 128 = 139.52 kcals
1.09kg x 3g = 3.27 g
What milk is recommended for the premature infant?
What would the feed volume be per feed for feeding every 3 hours at 160mL/kg?
Write one PES for this case study.
Calculate energy and protein intake son fortified human milk with powdered bovine fortified at 160mL/kg.
What should be monitored on a weekly basis in this infant before discharge? Premature Infant Case Study