Dietitians in Nutrition Support

Estimating Neonatal Needs - Energy, Protein, and Fluids

Dietitians in Nutrition Support

Show Notes

Whether you work in pediatrics or adults, needs calculations are essential to your nutrition support recommendations. In the continuation of our pediatric series, Alyson RD, CNSC talks through the basics of neonatal needs calculations including those for preterm and term infants, and special neonatal populations.

Want to see more pediatrics? Check out our other videos in our Pediatric/Neonatal Nutrition Support playlist!

Closed Captions provided by Kaitlyn Batista MS, RDN, CDN, CNSC

Timestamps: 0:52 Maintenance vs Growth Fluid Needs 1:36 Neonatal Fluid Needs 2:07 Nutritional Needs Review 3:01 Comparing Multiple Predictive Equations can be Beneficial for Selecting Patient Energy Needs Ranges 4:08 Neonatal Opioid Withdrawal Syndrome/ Neonatal Abstinence Syndrome (NAS) 5:22 Respiratory Distress Syndrome (RDS) 6:23 Bronchopulmonary Dysplasia (BPD) 7:42 Congenital Heart Disease (CHD) 8:32 ECMO 10:05 Renal Disorders 10:38 Surgical Infants 11:33 Case Studies

References: American Society for Parenteral and Enteral Nutrition. (n.d.). Malnutrition indicators in preterm and neonatal populations. Retrieved September 18, 2022, from https://www.nutritioncare.org/uploadedFiles/Documents/Malnutrition/Malnutrition%20Indicators%20in%20Preterm%20and%20Neonatal%20Populations%20Card.pdf

Anbalagan, S., & Mendez, M. D. (2022). Neonatal Abstinence Syndrome. In StatPearls. StatPearls Publishing.

Groh-Wargo, S., Thompson, M., & Cox, J. H. (2016). Academy of Nutrition and Dietetics Pocket Guide to Neonatal Nutrition. Academy of Nutrition and Dietetics.

Joosten, K., Embleton, N., Yan, W., Senterre, T., Braegger, C., Bronsky, J., Cai, W., Campoy, C., Carnielli, V., Darmaun, D., Decsi, T., Domellöf, M., Embleton, N., Fewtrell, M., Fidler Mis, N., Franz, A., Goulet, O., Hartman, C., Hill, S., ... Yan, W. (2018). Espghan/Espen/ESPR/CSPEN guidelines on Pediatric Parenteral Nutrition: Energy. Clinical Nutrition, 37(6), 2309–2314. https://doi.org/10.1016/j.clnu.2018.06.944

Karpen H. E. (2016). Nutrition in the Cardiac Newborns: Evidence-based Nutrition Guidelines for Cardiac Newborns. Clinics in perinatology, 43(1), 131–145. https://doi.org/10.1016/j.clp.2015.11.009

Moltu, S. J., Bronsky, J., Embleton, N., Gerasimidis, K., Indrio, F., Köglmeier, J., de Koning, B., Lapillonne, A., Norsa, L., Verduci, E., & Domellöf, M. (2021). Nutritional management of the critically ill neonate. Journal of Pediatric Gastroenterology & Nutrition, Publish Ahead of Print. https://doi.org/10.1097/mpg.0000000000003076

Mosca F. (2018). Nutritional management of surgical newborns and infants in the acute phase and during follow up. La Pediatria medica e chirurgica : Medical and surgical pediatrics, 40(1), 10.4081/pmc.2018.197. https://doi.org/10.4081/pmc.2018.197

Murphy, H. J., & Selewski, D. T. (2021). Nutrition Considerations in Neonatal Extracorporeal Life Support. NeoReviews, 22(6), e382–e391. https://doi.org/10.1542/neo.22-6-e382

National Institute for Health and Care Excellence. (2020, February 26). Overview: Neonatal parenteral nutrition: Guidance. NICE. Retrieved September 18, 2022, from https://www.nice.org.uk/guidance/ng154

Pediatric Nutrition Practice Group- Academy of Nutrition and Dietetics . (2019). Comparative Standards- Pediatric Nutrition Care Manual . Pediatric Nutrition Care Manual . Retrieved October 2, 2022, from https://www.nutritioncaremanual.org/topic.cfm?ncm_category_id=32&lv1=273298&lv2=274404&lv3=274414&ncm_toc_id=274414&ncm_heading=Preterm+and+High-Risk+Infants+%282019%29

Pierro, A., & Eaton, S. (2008). Metabolism and nutrition in the surgical neonate. Seminars in pediatric surgery, 17 (4), 276–284. https://doi.org/10.1053/j.sempedsurg.2008.07.006

Rocha, G., Guimarães, H., & Pereira-da-Silva, L. (2021). The Role of Nutrition in the Prevention and Management of Bronchopulmonary Dysplasia: A Literature Review and Clinical Approach. International journal of environmental research and public health, 18(12), 6245. https://doi.org/10.3390/ijer

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