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

Is it Time to Change to a Lower Calorie Density Formula?

Assess Weight Gain

Appropriate?

Inadequate?

Excessive?

 

 

Appropriate Weight Gain

 

 

Is infant capable of taking increased volume?

Yes

No

Do problems with feeding skills and fatigue make it likely that infant can't take increased volume?

Yes

No

 

Excessive Weight Gain

 

 

Due to excess fluid?

Yes

No

Consistent with catch-up growth?

Yes

No

Weight gain proportionally much greater than length gain?

Yes

No

 

Decrease Formula Density

 

No Change

 

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