Critically ill neonates and infants are often unable to maintain adequate nutrition through the enteral route and require parenteral nutrition. Due to their increased nutritional needs, small size, and limited overall fluid intake, neonatal/infant parenteral nutrition requires specialized knowledge of stability and compatibility of parenteral nutrition macronutrients and micronutrients. Special attention will be given to issues involving protein requirements, glucose infuse rates, provision of lipid injectable emulsions utilizing newer products, calcium and phosphate compatibility, and challenges with limited intravenous access.
Learning Objectives:
Objective 1: Discuss the macronutrients and micronutrients used in parenteral nutrition and the goals of therapy for neonatal patients
Objective 2: Recite common challenges regarding the provision of adequate calcium and phosphorus in parenteral nutrition
Objective 3: Describe challenges related to compatibility of various medications and parenteral nutrition solutions
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