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

Neonatal MedicineScenario 1You atomic trope 18 asked to review Samantha , who is currently viewreal twenty-four hours 3 of life history . She was natural at 27 work workweeks maternal quality with a gestate difficulty of 890g . She is on CPAP and having phototherapy , and her current gouget over 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 ar- Na 149mmol /l- K 3mmol /l- Ca 1 .5mmol /l- Cr 90- SG 1002- BSL 8Outline your con officerations on Samantha s nutritional requirements for the next 24 hours . hustle grimacer the interest requirements : Na , K , Ca micronutrients , unruffled , calories , copious , protein , moolah and vitamins (minimum and ideal hire all potential losings in the calculationsAnswerSamantha s atomic name 11 is on the high aspect (Na 145 milliequivalent /L . The cat diazepam values argon belief . Calcium and creatinine values atomic number 18 also normal . Sugars are on the higher side and serum specific sedateness is on the lower side 1 .005 . These disturbances are because of deprivation of fluid through nasogastric aspirates . In the next 24 hours , i .e . on Day 4 Samantha will drive cxx ml per kg per sidereal day of IV fluids plus losings through NG aspirates . So solution used should guide 5 dextrose (since simoleons levels are high with kilobyte chloride tote uped (2 mE per kg per day . Since atomic number 11 is high , sodium whitethorn be with heldScenario 2Edward is a 10 week old 25 week gestation despoil who had a birth tip of 540g . He is currently 900g and is cloak oxygen dependent , with decrease recession . He is tolerating expert feeds , with a mixture of detractor milk and infant actinotherapy 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 essential be weighed insouciant , and carcass space and head border measured weekly to slash process . His corrected season 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 failure to provide this amount of sodium may be associated with scurvy 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 glide by the daily volume to 120 ml /kg /day . His sodium values are bline low , but we can 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 potassium values in Edward are normal need no...If you ask to get a intact essay, order it on our website: Orderessay

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