At 13 months, Peter returns for a follow-up. His height and weight are the same. His mother reports that he continues to have significant reflux and often refuses to eat. It is determined that he will need surgery to repair his GERD. Given his history of FTT, the team asks you for a recommendation for nutrition support for 2 weeks prior to surgery and 1 week after until Peter can resume eating.
1. What is the most appropriate form of nutrition support for Peter?
2. Provide your recommendation for nutrition therapy, including type of nutrition, route of administration, nutrition formulation, and volume needed for catch up growth.
3. How will you monitor Peter’s nutritional adequacy?
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