What's on this Page
What is Infant Renal Nutritional Formulas
Renal formulas are low electrolyte/mineral formulas that are isotonic and designed for infants with renal impairment.
Hypocalcemia and hyperphosphatemia are common complications in infants with renal impairment. Renal formulas have less potassium, chloride, calcium, and phosphorus than standard formulas, and may also have altered protein content.
The lower phosphorus content in these formulas helps to minimize the development of bone disease.
The calcium:phosphorus ratio in these formulas may also help treat infants with serum calcium disorders.
Prior to the advent of modern dialytic therapies, the goal of nutrition support in patients with both acute and chronic renal failure was to delay the need for dialysis for as long as possible.
Specialty renal enteral formulas were developed to prevent the buildup of nitrogenous waste products, which would in turn contribute to rising blood urea nitrogen (BUN).
Renal impairment in infants, resulting from a variety of conditions (i.e., renal dysmaturity, congenital renal anomalies, and postnatal acquired renal dysfunction), commonly results in growth failure and developmental delay secondary to infants consuming insufficient nutrients for age-appropriate growth and development.
Fluid, electrolyte, and nutritional consequences of renal impairment require specific nutritional therapy. Patients with acute renal failure (ARF) are both hypermetabolic and hypercatabolic as a result of neurohumoral responses associated with the acute injury.
Sufficient nutrition may decrease the degree of protein catabolism and decrease the severity of negative nitrogen balance.
Indications
- complete nutrition
- nutritional supplementation
- renal impairment
Monitoring Parameters
- serum electrolytes
- weight
Contraindications
- breast-feeding
- cardiac disease
- dehydration
- electrolyte imbalance
- galactosemia
- immunosuppression
- intravenous administration
- malnutrition
- milk protein hypersensitivity
- phenylketonuria
- pregnancy
- premature neonates
- refeeding syndrome
- renal impairment
- severe combined immunodeficiency (SCID)
- soya lecithin hypersensitivity
Interactions
No information is available regarding drug interactions associated with Infant Renal Nutritional Formulas
