Document Detail

Fluid, electrolytes, and nutrition: minutes matter.
MedLine Citation:
PMID:  20838075     Owner:  NLM     Status:  MEDLINE    
Historically, in very low-birth-weight infant care, nutritional support was delayed during the first postnatal days because of fear of toxicity and harm with immature metabolic systems and intestinal function. Recent evidence demonstrates that early nutritional support is not only safe but likely necessary to optimize infant growth and neurodevelopment. In fact, nutrition management is a critical factor in very low-birth-weight infant golden hour support. Contemporary studies in protein and lipid intravenous support and early feeds as minimal enteral nutrition exhibit safety and some efficacy. We will present analysis of this evidence and development of potential better practices on the basis of these data as well as a review of golden hour fluid and glucose management. In addition, we provide several outcomes following our adoption of potentially better golden hour nutrition practices.
Sarah N Taylor; James Kiger; Carolyn Finch; Darrin Bizal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  10     ISSN:  1536-0911     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-14     Completed Date:  2010-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-55     Citation Subset:  IM    
Department of Pediatrics, Medical University of South Carolina Children's Hospital, Charleston, SC 29425, USA.
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MeSH Terms
Body Water / physiology*
Extracellular Fluid / physiology
Fat Emulsions, Intravenous / therapeutic use
Fluid Therapy
Hypoglycemia / prevention & control*,  therapy
Infant Nutritional Physiological Phenomena
Infant, Newborn
Infant, Premature / growth & development,  physiology*
Infant, Premature, Diseases / prevention & control*,  therapy
Infant, Very Low Birth Weight / growth & development,  physiology*
Intracellular Fluid / physiology
Nervous System Diseases / prevention & control*,  therapy
Nutritional Support*
Protein Deficiency / prevention & control*,  therapy
Time Factors
Water-Electrolyte Balance / physiology*
Reg. No./Substance:
0/Fat Emulsions, Intravenous

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