Help meet big and small

protein needs

References: 1. Klein CJ. J Nutr. 2002;132:1395S-15775S. 2. Committee on Nutrition, American Academy of Pediatrics (AAP-CON). Nutrition needs of preterm infants. In: Kleinman RE, ed. Pediatric Nutrition Handbook. 5th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2004:42. 3. Tsang RC, et al, eds. Nutrition of the Preterm Infant: Scientific Basis and Practical Guidelines. Cincinnati, OH: Digital Education Publishing Inc; 2005:417. 4. Nutrition Committee, Canadian Paediatric Society (CPS). Can Med Assoc J. 1995;152:1765-1785. 5. Adamkin DH, ed. Nutritional Strategies for the Very Low Birthweight Infant. New York, NY: Cambridge University Press; 2009:107. 6. Corvaglia L, et al. Early Hum Dev. 2010;86:237-240.

Name: __________________________________Birth Date______/______/______ Hosp. #______________

Age:________________Length/Height:__________________(cm/in) Weight:________________ (kg/lb)

Total g Protein/kg/d __________________ Total kcals/kg/d ______________________

Feeding Instructions: ______________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Comments: ______________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Dietitian: ________________________________________________________________________________

Doctor: _________________________________________________________________________________

Calculate how much Liquid Protein Fortifier is needed for preterm infant feedingsBaby’s weight (kg)x Amount of additional protein needed per day (g/kg/day)x 6 (conversion factor for Liquid Protein Fortifier concentration)= Amount of Liquid Protein Fortifier (mL) to add per day

Desired protein intake ________ g protein/kg/day

Subtract current intake ________ g protein/kg/day

Equals Supplemental need ________ g protein/kg/day x baby’s weight (kg) x 6

Fortifier per day ________ mL/day

Recommended protein intake

•Expertguidelinesrecommendarangeof3.0-4.3g/kg/day1-5

Protein intake from preterm human milk

•Varies1.5-2.96g/kg/day

Liquid Protein Fortifier

Mixing Worksheet

©2012AbbottLaboratories85650/October2012LITHOINUSA

Liquid Protein Fortifier

Mixing Instructions

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USE AS DIRECTED BY A DOCTOR DO NOT ADD WATER | SHAKE GENTLY

DO NOT USE IF BREAKAWAY RING IS MISSING OR BROKEN

THE HEALTH OF THE INFANT DEPENDS ON CAREFULLY FOLLOWING THE DIRECTIONS FOR PREPARATION AND USE. PROPER HYGIENE, HANDLING AND STORAGE ARE IMPORTANT WHEN PREPARING INFANT FEEDINGS.

REFRIGERATE FORTIFIER AFTER OPENING; USE WITHIN 24 HOURS OR DISCARD.

STORAGE: STORE UNOPENED AT ROOM TEMPERATURE; AVOID EXTREME TEMPERATURES.

Twist off cap. Draw up volume specified by a healthcare professional into a single use oral syringe.*

Pour liquid protein fortifier into medicine cup.*

Dispense into measured human milk or formula and swirl. Pour desired amount of mixture into feeding container.

*Robbins S and Meyers R. Formula Preparation and Handling. In: Robbins ST and Meyers R, eds. Infant Feedings: Guidelines for Preparation of Human Milk and Formula in Health Care Facilities. 2nd ed. Chicago, IL;2011:80.

Must be mixed with human milk or formula before feeding

DiREcTiOnS fOR PREPARATiOn AnD USE