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2 produkter
2 produkter
781 kr
Skickas inom 7-10 vardagar
The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to summarise key data and management strategies, Nutritional Strategies for the Very Low Birthweight Infant is an invaluable guide for all healthcare professionals caring for premature babies.
Disorders of Neonatal Glycemia
Neonatal Glucose Extremes, Hypoglycemia and Hyperglycemia
Häftad, Engelska, 2026
1 272 kr
Kommande
The management of the extremes of plasma or blood glucose concentrations, hypoglycemia and hyperglycemia, in the first 48 hours of life to several days of life in both preterm and term newborn infants is one of the most frequently encountered issues clinicians face. The concentrations of glucose upon which we base our decision-making remain more a matter of expert opinion than being evidence-based, and a consensus on blood glucose concentrations that should be treated in the newborn has not been definitive enough .This lack of consensus has led to further confusion for clinician as two pediatric organizations, the Committee on the Fetus and Newborn of the American Academy of Pediatrics (AAP) and the Pediatric Endocrine Society (PES), have recently provided expert opinion on the management of neonatal hypoglycemia that suggested different ranges of actionable blood glucose concentrations. The AAP guidance applies only to the first 24 h of life, while the PES strategy focuses on infants beyond 48 h of life with the emphasis on assuring that cases of persistent hypoglycemia are identified before these infants are discharged.This book provides an approach to neonatal hypo- and hyperglycemia that incorporates opinions from authoritative organizations, the literature, and clinical practice and provides management that meets the newborns’ energy requirements while still promoting successful breastfeeding and preventing unnecessary NICU admissions. It is also helpful medicolegally, as both disorders, but particularly hypoglycemia, have been the subject of numerous legal cases, often decided on misinformation or prejudicial bias.Written by experts in the field, Disorders of Neonatal Glycemia provides valuable details to help clinicians recognize and understand all the grey areas in these two disorders and recognize the difference among standard guidelines, such as those from the AAP and the PES.