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

• At the beginning of the period: Proteins – 3,0 g/kg (breast feeding), 3,5-4,0 g/kg (formula feeding), fats 4-4,5 g/kg, carbohydrates 13 g/kg.

• At the end of the period: quantity of fats increase to 5-6 g/kg, carbohydrates to 14-15 g/kg.

6.Continue of period: 2-3 weeks.

7.Medicaments:

• Enzymes (pancreatin),

• Vitamins (А, С, Е, group В, vit. В if rickets is present),

• Treatment of dysbacteriosis (bifidumbacterin, lactobacterin),

• Hepatoprotection (lipoic acid, essentiale, vit. B₅, B₁₅).

• Stimulation therapy (аpilak, pentoxil), if appetite is decrease – potassium orotatis.

• Massage, gymnastics, UV irradiation

Period of high-caloric diet:

1.Calculation quantity of proteins, fats, carbohydrates: quantity of proteins, carbohydrates and fats calculated on weight, which is corresponding to age.

2.Calculation volume of food: Full feeding volume, gradually take of additional food (vegetable puree is preferable, if daily raise of body weight is low porridges are preferable).

3.Quantity of food intakes: 6 per 3,5 h. (for children senior than 5 month – 5 per 4 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.

5.Quantity of proteins, fats, carbohydrates: Proteins – 4,0-4,5 g/kg, fats 6-6,5 g/kg, carbohydrates 14-16 g/kg (correlation p:f:c= 1:1,5:4).

7.Medicaments:

• Enzymes (pancreatin),

• Vitamins (А, С, Е, group В, vit. В if rickets is present),

• Treatment of dysbacteriosis (bifidumbacterin, lactobacterin),

• Hepatoprotection (lipoic acid, essentiale, vit. B₅, B₁₅).

• Stimulation therapy (аpilak, pentoxil), if appetite is decrease – potassium orotatis. If daily raise of body weight is low anabolic steroids can prescribe (retabolil, nerobol).

• Massage, gymnastics, UV irradiation