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Table 10 Nutritional composition of home emergency feeds in infants and children

From: Proposed guidelines for the diagnosis and management of methylmalonic and propionic acidemia

Age

Protein per 100 ml

Glucose polymer concentration

±fat emulsion*

Energy

Energy

Suggested daily intake

Feeding frequency

% carbohydrate

% fat

kcal per 100 ml from CHO + fat

kJ per 100 ml

ml//kg

Up to 12 m

Stop or reduce total protein intake by ≥50% depending on illness severity

10

3.5

72

302

120 -150 ml/kg

Continuous tube feds using enteral feeding pump

1-2 y

15

5

105

441

1200 ml

2-9 y

20

5

125

525

Estimated as indicated

>10 y

25

5

145

609

Estimated as indicated

  1. For children >10 kg emergency regimen fluid requirements can be calculated as:
  2. 11-20 kg: 100 ml/kg for the first 10 kg, plus 50 ml/kg for the next 10 kg.
  3. >20 kg: 100 ml/kg for the first 10 kg, plus 50 ml/kg for the next 10 kg, plus 25 ml/kg thereafter.
  4. up to a maximum of 2500 ml/day.
  5. *Fat emulsion (50%) is based on a long chain fatty acid source. Fat may not be well tolerated during illness and so may be omitted from emergency feed.
  6. Grade of recommendation: D.