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Date: | Wed, 24 Oct 2001 21:26:37 EDT |
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Julie says,
<< After investigation , we
have found that some nurses have been using a formula (no pun intended)
of: 150 ml/kg x body weight (kg) x # of feeds per day (maintenance
amount)
Others use: 180 ml/kg x body weight (kg) x # of feeds per day
(catch up amount)
For a true failure to thrive (which the nurses do not encounter often) the
formula is: 200 ml/kg x wt.x # feeds per day.
So, instead of an answer, I have a question: do either of these amounts
seem reasonable? How about giving the parents a range, say 150 to 180
ml/kg (of course, working out the amount per feed for them)? >>
Thanks Julie, this is exactly the information I was looking for, and I hope
someone else will weigh in here too. Seems to me that (I'm having difficulty
translating from the kg to the pounds here -- no calculator in front of me)
that you are saying 5 to about 6 1/2 ounces per kg/24 hours. That would work
out to be about (using the erroneous "formula" that breastmilk is 20
kcal/ounce) 110 to 120 kcal/kg body weight. (A bit more than that if baby
needs to catch up.) Did I do that correctly in my head? It's possible that
the 120 is a bit high -- the 110 is closer to the mark, I think. But it
would be helpful to know where we are getting our numbers from.
Thanks!
Jan
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