Baby Le was born at 29 weeks of gestation, and his birthweight was 1400 g. He is now 1 week old or 30 weeks’ postmenstrual age and weighs 1375 g. He is receiving parenteral nutrition at 130 ml/kg/day...

Baby Le was born at 29 weeks of gestation, and his birthweight was 1400 g. He is now 1 week old or 30 weeks’ postmenstrual age and weighs 1375 g. He is receiving parenteral nutrition at 130 ml/kg/day that contains 12.5% dextrose and 3.5% amino acids and a 20% intravenous fat emulsion at 15 ml/kg per day. The registered dietitian nutritionist (RDN) assesses the nutrient intake, and calculations are given in the following table. The patient’s intakes are compared with the parenteral guidelines of the American Academy of Pediatrics (AAP, 2014) for premature infants

Nutrition Diagnostic Statement

 Excessive protein intake related to excessive provision in parenteral nutrition as evidenced by protein intake greater than recommendation of 4.0 g of protein per kilogram established by the AAP in 2014.

Nutrition Care Questions

1. The RDN chooses the nutrition diagnosis and writes the problem-etiology-signs and symptoms statement. Interventions include decreasing the amino acid concentration to 3%, which will provide 4.0 g of protein per kilogram per day.

2. In how many days would you monitor and evaluate Baby Le’s nutrition status?

3. What guidance is needed for the staff to evaluate him for signs of dehydration?