Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
CDN(PEM).doc
Скачиваний:
10
Добавлен:
01.05.2025
Размер:
115 Кб
Скачать
☆

1.Calculation quantity of proteins, fats, carbohydrates:

  • At hypotrophy of I degree quantity of proteins and carbohydrates calculated on weight, which is corresponding to age, quantity of fats on approximately corresponding weight (factice weight + 20%).

  • At hypotrophy of II degree quantity of proteins and carbohydrates calculated on approximately corresponding weight, quantity of fats on factice weight.

  • At hypotrophy of III degree quantity of proteins, carbohydrates and fats calculated on factice weight.

2.Calculation volume of food:

  • Daily food volume – 200 ml/kg оr 1/5 of body weight, but no more than 1 l. This quantity take for conventionally unit. At hypotrophy of I degree give 2/3, at hypotrophy of II degree 1/2, at hypotrophy of III degree 1/3 from this conventionally unit. At hypotrophy of II-III degree food volume gradually increased tо 2/3.

  • Deficiency of food volume to this conventionally unit restored by take fluids (5% glucose, isotonic solution of sodium chloride, water, tea).

3.Quantity of food intakes: at hypotrophy of I degree 7 per 3 h., at hypotrophy of II degree 8 per 2,5 h., at hypotrophy of III degree 10 per 2 h.

4.Choise of the formula feeding: best of all- breast feeding sour milk formulas  sweet formulas.

5.Quantity of proteins, fats, carbohydrates for children with hypotrophy:

  • Proteins – 0,7-2,0 g/kg, fats 2-4 g/kg, carbohydrates 8-10 g/kg, calories 60-100 kcal/kg.

6.Continue of period:

  • At hypotrophy of I degree 1-3 days,

  • At hypotrophy of II degree 3-5 days,

  • At hypotrophy of III degree 7-10 days.

7.Partial parenteral feeding (at hypotrophy of II-III degree): 5-10% glucose with insulin (1 IU of insulin for 4-5 g of glucose), amino acids solutions (іnfesol, vaminolact), fats emulses (lipofundin).

8.Medicaments:

  • Enzymes (pancreatin),

  • Vitamins (А, С, Е, group В),

  • Treatment of dysbacteriosis (bifidumbacterin, lactobacterin).

Intermediate period:

1.Calculation quantity of proteins, fats, carbohydrates:

  • At hypotrophy of I degree quantity of proteins, carbohydrates and fats calculated on weight, which is corresponding to age.

  • At hypotrophy of II degree quantity of proteins and carbohydrates calculated on weight, which is corresponding to age, quantity of fats on approximately corresponding weight, than on factice weight.

  • At hypotrophy of III degree quantity of proteins, carbohydrates and fats calculated on approximately corresponding weight.

2.Calculation volume of food:

  • Feeding volume is 2/3 from the conventionally unit.

  • Deficiency of food volume to this conventionally unit restored by take fluids (5% glucose, isotonic solution of sodium chloride, water, tea, may be juices). When feeding volume is increase, volume of fluids is decrease.

3.Quantity of food intakes: 7 per 3 h.

4.Choise of the formula feeding: best of all- breast feeding sour milk formulas  sweet formulas. For correction of proteins needs is given cottage cheese, for correction of fats needs is given yogurt, “Vitalact”, oil, for correction of carbohydrates needs is given juices, fruit purees, 5% glucose