Content material:
Chapter 1 ideas of Paediatric Dietetics (pages 1–18): Vanessa Shaw and Margaret Lawson
Chapter 2 Provision of meals in a medical institution surroundings (pages 19–28): Ruth Watling
Chapter three Enteral Feeding (pages 29–42): Tracey Johnson
Chapter four Parenteral meals (pages 43–52): Janice Glynn
Chapter five Preterm babies (pages 53–66): Caroline King
Chapter 6 The Gastrointestinal Tract (pages 67–96): Sarah Macdonald
Chapter 7 Anatomical Abnormalities of the Gastrointestinal Tract (pages 97–109): Vanessa Shaw
Chapter eight The Liver and Pancreas (pages 110–125): Stephanie France
Chapter nine Diabetes Mellitus (pages 126–136): Alison Johnston
Chapter 10 Cystic Fibrosis (pages 137–157): Anita MacDonald
Chapter eleven The Kidney (pages 158–181): Janet Coleman
Chapter 12 The Cardiothoracic procedure (pages 182–192): Marion Noble
Chapter thirteen The Immune approach (pages 193–221): Christine Carter
Chapter 14 Ketogenic nutrition for Epilepsy (pages 222–232): Marjorie Dixon
Chapter 15 problems of Amino Acid Metabolism, natural Acidaemias and Urea Cycle Defects (pages 233–295): Marjorie Dixon
Chapter sixteen issues of Carbohydrate Metabolism (pages 295–315): Marjorie Dixon
Chapter 17 issues of Fatty Acid Oxidation (pages 316–325): Marjorie Dixon
Chapter 18 Lipid issues (pages 327–335): Patricia Rutherford
Chapter 19 Refsum's illness (pages 337–344): June Brown
Chapter 20 epidermis Suturing thoughts (pages 345–348): Anita MacDonald
Chapter 21 dietary help: Leukaemias, Lymphomas and good Tumours (pages 349–360): Evelyn Ward
Chapter 22 consuming problems (pages 361–370): Dasha Nicholls
Chapter 23 weight problems (pages 371–380): Mary Deane
Chapter 24 Epidermylosis Bullosa (pages 381–395): Lesley Haynes
Chapter 25 Burns (pages 396–402): Helen McCarthy and Dearbhla Hunt
Chapter 26 food for kids with Feeding problems (pages 403–422): Karen Jeffereys
Chapter 27 Failure to Thrive (pages 423–430): Zofia Smith
Chapter 28 young ones from Ethnic Minorities and people following Cultural Diets (pages 431–445): Sue Wolfe
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Extra info for Clinical Paediatric Dietetics, Second Edition
Sample text
When children are fed directly into the jejunum, feed enters the intestine distal to the site of release of pancreatic enzymes and bile. Whole protein feeds can be used but malabsorption can occur due to inadequate digestion, so the use of hydrolysed feeds is recommended. Feeds delivered into the jejunum should always be given by continuous infusion. The stomach acts as a reservoir for food in the normally fed child, regulating the amount of food that is delivered into the small intestine. Feed given as a bolus into the small intestine can cause abdominal pain, diarrhoea and dumping syndrome resulting from rebound hypoglycaemia.
G. stainless steel) are recommended. equipment should be easy to clean, easy • Weighing to use and of the appropriate accuracy for the task. or more refrigerators which operate at a • One temperature between 1–4°C is a necessity; the 200–250 ml sizes. Glass is a hazardous material prone to cracking and chipping; polycarbonate shrinks if autoclaved at temperatures greater than 119°C and bottles become scratched or crazed after some time in use. Reusable bottles require washing, sanitising by heat or chemical means; sealing discs or caps need to undergo a similar treatment and are likely to become lost or misshapen with continuous use.
It is more time consuming than continuous feeding but is the preferred method for many families with children requiring long-term feeding as it gives them greater freedom and mobility. There are situations where bolus feeding is recommended. Neonates requiring small volumes may need to be given their feed by hourly bolus as the length of tubing between the reservoir and child creates a ‘dead space’ holding feed. This can be particularly relevant in infants fed EBM as some fat can be lost by adherence to the sides of the burette and tubing [11].