Reference: McCray S and Parrish CR. Nutritional Management of Chyle Leaks: An Update. Nutrition Issues in Gastroenterology, Series #94. Table 9. Practical Gastroenterology April 2011.
- Supplements should include a daily multivitamin and additional calcium and vitamin D, as needed. Your dietitian can perform a nutrient analysis of your infant’s diet and provide individualized vitamin and mineral recommendations.
- Some infants may require full or partial parenteral nutrition (PN) if unable to gain adequate weight with enteral nutrition alone. If the infant does not tolerate adequate enteral fat, an IV lipid emulsion should provide only enough fat to prevent essential fatty acid (EFA) deficiency.
- Monitor the following nutrition-related lab values: fat soluble vitamins (A,D,E,K), calcium, zinc, iron panel, hepatic panel, cholesterol, triglycerides, electrolytes, fatty acid panel (triene:tetraene ratio) - (Team Note: doesn’t the T:T ratio reflect omega 6 status only) and albumin every 3-6 months.
- Generally infants can start baby foods or thin purees between 4-6 months of age. Speak with your physician or dietitian regarding when to introduce solids to your infant. Select the Dietary Recommendations tab for a general guide to texture advancement for infants.