Question

Title: Pediatric- Failure to Thrive Case study narrative-RDN receives order for nutrition consultation for 8 month old boy diagnosed wit erre Robin syndrome, diaphragmatic hernia, eating problems, failure to thrive, delayed developme and reflux. He has had eating problems from birth, with early tubefeeding, a gastrostomyfrom 3 montns of age and on Nutramigh since age 2 weeks indicated for cow milk allergy. small amounts of water, and feeding thin rice ceral resulted in an increased amount o the medical record indicates Ben receives daily multivitamins: 2.5 ml x 2, Cod liver o B 12: 0.25 ml x 2, Ben's hematology, liver, and kidney status are normal; ferritin hemoglobin status is normal. Ben's height is 24.25 inches, his height/age: <2.5 percent 12 1b.; his weight/height declined from 25th percentile to 10th percentile. Ben vomits after each feeding Ben refuses to eat, drinks f stool. Review of l: 2 ml x 1, vitamin 20 (ref 29-383 ug/L), le, his weight is as no sign of appetite. His estimated energy needs are 85-95 kcal/kg/day: 460-520 kcal/day (RDI)

Need nutritional intervention and nutrional prescription

Answer 1

Comprehensive nutritional assessment for infant important for monitoring nutrients and energy requirement needed for growth and development.

- formula milk meet the nutritional requirements for the baby..

- provide small portion of liquids formula milk every 2hours..

- provide vegetable clear soup and unsweetened fruit juice along with diluted water..