Gaining and Growing: Assuring Nutritional Care of Preterm Infants in the Community

 

Formula Choice with Apparent Formula Intolerance

If the infant has growth failure:

Does intake appear adequate?

Yes
(See Below)

No (Go to Decision trees on Growth Problems and Formula Concentration).

Is there recent history of increased losses through vomiting and/or diarrhea?

Yes
(See Below)

If No, intake is not adequate to meet needs. See section on Nutrition Assessment.

Was formula previously well tolerated?

This may be a temporary problem due to illness. Do not change formula.

No

Has there been a recent change of volume or timing of feedings?

Yes (question 1): Infant may not be able to tolerate changes. (Please see file on Enteral Feeding for information about effects of timing and volume).

No

Has there been a recent change of medication?

Yes (question 2): Assess effect of medication on GI function.

No


Start of Formula Choice Decision Tree
Decision Trees Homepage
Gaining and Growing Homepage
More information contact: growing@uw.edu
Page reviewed: April 1, 2015