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Define Specialized Nutritional Requirements for catch up growth for infants with CHD?
The nutritional requirement for catch up growth for infants with CHD is listed in Table. By catch up growth we mean to catch up or make up for the earlier defecit in growth caused by CHD. As you may have noticed in Table, calorie and protein requirements (given as per kg body weight) are increased due to catch up growth and hyper metabolism. Sodium intake is to be closely monitored due to existing congestive heart failure (CHF). Other important nutrients are potassium, vitamins, and iron. Fluid requirements are individualized based on degree of cardiac compromise, diuretic therapy, fluid intolerance, congestive heart failure (CHF), pulmonary hypertension,
The following calculation/formula may also be useful to calculate the calorie and protein content:
Catch up growth (Kcal/Kg) = RDA Kcal/ kg for weight x ideal weight/ actual weight (kg)
Protein (g/kg) = 8%of catch up growth calories/ catch up growth (Kcal/kg) x 0.08aving worked out the calorie, protein and other nutrient requirements, you would realize that meeting these requirements would not be easy.
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