Clinical Paediatric Dietetics, Second Edition

Content material:
Chapter 1 ideas of Paediatric Dietetics (pages 1–18): Vanessa Shaw and Margaret Lawson
Chapter 2 Provision of foodstuff in a medical institution environment (pages 19–28): Ruth Watling
Chapter three Enteral Feeding (pages 29–42): Tracey Johnson
Chapter four Parenteral food (pages 43–52): Janice Glynn
Chapter five Preterm babies (pages 53–66): Caroline King
Chapter 6 The Gastrointestinal Tract (pages 67–96): Sarah Macdonald
Chapter 7 Anatomical Abnormalities of the Gastrointestinal Tract (pages 97–109): Vanessa Shaw
Chapter eight The Liver and Pancreas (pages 110–125): Stephanie France
Chapter nine Diabetes Mellitus (pages 126–136): Alison Johnston
Chapter 10 Cystic Fibrosis (pages 137–157): Anita MacDonald
Chapter eleven The Kidney (pages 158–181): Janet Coleman
Chapter 12 The Cardiothoracic process (pages 182–192): Marion Noble
Chapter thirteen The Immune approach (pages 193–221): Christine Carter
Chapter 14 Ketogenic nutrition for Epilepsy (pages 222–232): Marjorie Dixon
Chapter 15 problems of Amino Acid Metabolism, natural Acidaemias and Urea Cycle Defects (pages 233–295): Marjorie Dixon
Chapter sixteen issues of Carbohydrate Metabolism (pages 295–315): Marjorie Dixon
Chapter 17 issues of Fatty Acid Oxidation (pages 316–325): Marjorie Dixon
Chapter 18 Lipid issues (pages 327–335): Patricia Rutherford
Chapter 19 Refsum's affliction (pages 337–344): June Brown
Chapter 20 pores and skin Suturing thoughts (pages 345–348): Anita MacDonald
Chapter 21 dietary help: Leukaemias, Lymphomas and stable Tumours (pages 349–360): Evelyn Ward
Chapter 22 consuming issues (pages 361–370): Dasha Nicholls
Chapter 23 weight problems (pages 371–380): Mary Deane
Chapter 24 Epidermylosis Bullosa (pages 381–395): Lesley Haynes
Chapter 25 Burns (pages 396–402): Helen McCarthy and Dearbhla Hunt
Chapter 26 food for kids with Feeding problems (pages 403–422): Karen Jeffereys
Chapter 27 Failure to Thrive (pages 423–430): Zofia Smith
Chapter 28 young children from Ethnic Minorities and people following Cultural Diets (pages 431–445): Sue Wolfe

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Sample text

For longer term feeding a jejunostomy tube or a gastro-jejunal tube is usually a more successful route for nutritional support. Complications can include bacterial overgrowth, malabsorption, bowel perforation and tube blockage. Like nasogastric and gastrostomy tubes, jejunostomy tubes need regular flushing to maintain patency but in contrast it is recommended that sterile water is always used. 4. Orogastric feeding This route is principally used for feeding neonates where nasal access is not feasible or where breathing would be compromised.

Neonates may need to be started on just 1 ml/hr infusion rates whereas older children may tolerate rates of 100 ml/hr. In most cases feeds can be started at full strength with the volume being gradually increased in stages either at an increased infusion rate or as a larger bolus. Gastrointestinal symptoms are the most common complications of enteral feeding but with the wide choice of feeds, administration techniques and enteral feeding devices it should be possible to minimise gastrointestinal symptoms.

What do patients eat in hospital? Hum Nutr: Appl Nutr, 1984, 38A 294–7. 15 Dezenhall A et al. Food and nutrition services in bone marrow transplant centres. J Am Diet Assoc, 1987, 87 1351–3. 16 Pattinson AJ Review of current practice in ‘clean’ diets in the UK. J Hum Nutr Diet, 1993, 6 3–11. 17 Aker SN, Cheney CU The use of sterile and low microbial diets in ultra isolation environments. J Parent Ent Nutr, 1983, 7 390. 18 Pizzo PA, Purvis DS, Waters C Microbiological evaluation of food items. J Am Diet Assoc, 1982, 81 272.

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