FEN

Fluids, Electrolyte, and Nutrition Management in Neonates Beverly J Miller, RN, MSN, CNS, NNP WakeMed Health and Hospitals North Healthplex Raleigh, NC August 2009

FEN Management in Neonates ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Why is FEN management important? ,[object Object],[object Object],[object Object],[object Object]

Fluids and Electrolytes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Things to consider: Normal changes in TBW, ECF ,[object Object],[object Object],[object Object],[object Object]

Things to consider: Normal changes in Renal Function ,[object Object],[object Object],[object Object],[object Object],[object Object]

Things to consider: Insensible water loss (IWL) ,[object Object],[object Object],[object Object],[object Object]

Assessment of fluid and electrolyte status ,[object Object],[object Object],[object Object]

Assessment of fluid and electrolyte status (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment of fluid and electrolyte status (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of F&E ,[object Object],[object Object]

Management of F&E (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of F&E (contd.) ,[object Object]

Management of F&E (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Let there be lytes! ,[object Object],[object Object],[object Object],[object Object]

F&E in common neonatal conditions ,[object Object],[object Object],[object Object],[object Object]

Common ‘lyte problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sodium stuff : Hyponatremia ,[object Object]

Sodium stuff : Hypernatremia ,[object Object],[object Object]

Potassium stuff ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hypo- and Hyper-K ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Hyperkalemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Calcium stuff ,[object Object],[object Object],[object Object],[object Object]

Things we aren’t going to discuss (i.e.) homework: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Common fluid problems ,[object Object],[object Object],[object Object]

Nutrition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Energy { E = mc 2 } ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],E=energy required m =mass of baby c = cry loudness

Energy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Calculations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Calculations: practical hints for TPN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Carbohydrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Carbohydrate ,[object Object],[object Object],[object Object],[object Object],[object Object]

Fat ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fat ,[object Object],[object Object],[object Object],[object Object]

Protein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Minerals (other than Na,K, Cl) ,[object Object],[object Object],[object Object],[object Object]

Vitamins ,[object Object],[object Object],[object Object],[object Object],[object Object]

Trace elements ,[object Object],[object Object],[object Object]

Special formula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special formula (contd.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FEN

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FEN