At 5 months of age, LV was receiving Similac Neocare at a rate of 8.4 kcals per hour. How many calories and how much protein was this providing? How many calories and how much protein should he be receiving at 5 months?
8.4 x 24 = 201.6 kcals/day but this was the starting rate and not his final rate.
Similac Neocare = .74 kcal/cc
201.6/.74 = 272.4 cc/day
1L = 26 g of protein
.272 L x 26 = 7.1 g of protein
According to the RDAs, a normal infant at 5 months of age should be receiving approximately 650 kcals and 13g of protein. LV is receiving less than that but he is a premature infant that is much smaller than an infant that is 5 months born at term. Another method of recommending kcals is 120 - 150 kcals/kg/day for the healthy, growing premature infant. LV is receiving only 57.6 kcal/kg/day as an unhealthy infant. Also, this was his starting rate and not the final rate. Also, because of LV's BPD, fluids were a problem and he could not be given much more than this.
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