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 feedings Baby’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 • Expert guidelines recommend a range of 3.0-4.3 g/kg/day 1-5 Protein intake from preterm human milk • Varies 1.5-2.96 g/kg/day Liquid Protein Fortifier Mixing Worksheet