1. Pediatric Assessment 2

2. Classification of formula: 0 – 6 months 6-12 months > 1 years according to age Human milk Source of protein composition standard High kcal premature kcal / oz

3. anti regurgitation AR lactose free LF hypo allergenic HA

5. Kcal protein

6. 0 – 6 months

9. 6-12monts

10. Above one years old kcal protein Above one

14. 10% 40% 25% 75%90% 25% 75% 60% 15%

15. Example : Age = 8 months. Energy = 1100 Kcal Protein = 22.18 gm Fat = 46.4 gm / day CHO = 132 gm / day Requirement from formula 70 % ( similac gain )

16. 70 % kcal from formula 1100 x 70 % = 770 kcal 1 ml.74 kcal ? 770 kcal = 1040 ml Protein 1 ml.028 gm 1040 ml ? = 29.12 gm

17. CHO 1ml.75 gm 1040 ml ? = 78 gm Fat 1 ml.036 gm 1040 ml ? = 37.44 gm

18. Requirement from solid food : Kcal = 1100 – 770 = 330 Kcal Protein = 38.5 – 29.12 = 9.38 gm CHO = 132 – 78 = 54 gm Fat = 46.4 – 37.44 = 8.96 gm

19. 30-60ml q2hr 0-3 months 60- 80-100 ml q3hrs 3-6 months 100-200 3 times / day 6-12 months

20. 770 ml from feed. 770 /3 = 256 ml 770/4 = 193 ml 330kcal from solid food 2ex cereal 2ex vegetable 1 ex fruit 1 ex meet Example :

21. BF 190 ml Snack 2 ex cereal Lunch 190 ml Snack 2 veg 1 meet Dinner 190 ml Snack 1 ex fruit Mid night snack 190 ml Menu :