|
Is energy intake within expected range of 100 to 130 kcal/kg/day? See Nutritional Intake Expectations |
Intake appears to be within expected range
Increased energy needs
|
Can the infant take an increased volume of formula or breastmilk? |
If can take increased volume, increase size or numbers of feedings
If can't take increased volume and fluid status is adequate (ie greater than 120cc/kg/day) then increase caloric density of formula. See section on Concentrating Infant Formula
Infant does not have increased energy needs
|
Does infant have increased losses from Short Bowel Syndrome(link), diarrhea, or reflux? |
If infant has increased losses refer for evaluation and treatment
If infant does not have energy intake within expected range, assess reasons for inadequate intake
|
Does infant have feeding difficulties? See Assessment of Feeding.link) |
No |
|
|
Is the feeding schedule appropriate? See The Feeding Situation. (link) |
No |
|
|
Is the feeding environment appropriate? See Caregiver Infant Feeding Relationship. link) |
No |
|
|
Is the formula prepared correctly? See Infant Formulas and Concentrating Formula. (link) |
No |
|
|
Does the infant appear to have a feeding aversion? See Behavioral Problems Related to Feeding and Oral Motor Feeding Problems. (link) |
No |
Provide appropriate support for interventions that will address specific concerns and follow closely