Appendix 1 - nutritional content of SMOF lipid solution vs requirements
NHS Lothian neonatal guidelines (in development)
Table 1.0:
Nutritional content of SMOF lipid solution with comparison to micronutrient requirements for PRETERM infants*
|
SMOF Lipid Volume |
0.5ml/kg/hour (12ml/kg/day) |
0.75ml/kg/hour (18ml/kg/day) |
0.83ml/kg/hour (20ml/kg/day) |
Requirements for preterm infants /kg (ESPGHAN 2018) |
|
Fat g/kg/day
|
2.0 |
3.0 |
~3.5 |
- |
|
Solivito N (Water Soluble vitamins) |
0.6ml/kg/day |
0.9ml/kg/day |
1ml/kg/day |
- |
|
Thiamine (B1) mg |
0.19 |
0.28 |
0.31 |
0.35 – 0.5 |
|
Riboflavin (B2) mg |
0.29 |
0.44 |
0.49 |
0.15 – 0.2 |
|
Nicotinamide (B3) mg |
2.4 |
3.9 |
4.0 |
4 – 6.8 |
|
Pyridoxine(B6) mg |
0.29 |
0.44 |
0.49 |
0.15 – 0.2 |
|
Pantothenate mg |
1.0 |
1.49 |
1.65 |
2.5 |
|
Biotin ug |
3.6 |
5.4 |
6.0 |
5 – 8 |
|
Folic acid ug |
20 |
36 |
40 |
56 |
|
Cyanocobalamin (B12) mg |
0.3 |
0.45 |
0.5 |
0.3 |
|
Vitamin C mg |
6.8 |
10.2 |
11.3 |
15 – 25
|
|
Vitlipid N infant (Fat soluble vitamins) |
2.4ml/kg/day |
3.6ml/kg/day |
4ml/kg/day |
- |
|
Vitamin A |
166ug or 600iu |
248ug or 900iu |
276ug or 1000iu |
227 - 455 ug/kg/d or 700 – 1500iu/kg/day |
|
Vitamin D2 |
2.4ug or 96iu |
3.6ug or 144iu |
4ug or 160iu |
80- 400 iu/kg/d or 200 - 1000 iu/d |
|
Vitamin E |
1.54ug or1.7iu |
2.3 mg or 2.5iu |
2.56mg or 2.8iu |
2.8 - 3.5 mg/kg/d or 2.8 - 3.5 iu/kg/d |
|
Vitamin K |
48ug |
72ug |
80ug |
10 ug/kg/d (recommended, but currently not possible) |
*exact constituents may vary slightly due to the aseptic department rounding up volumes for preparation
Table 2.0
Nutritional content of SMOF Lipid solution with comparison to requirements for TERM infants*
|
SMOF Lipid volume |
0.5ml/kg/hour (12ml/kg/day) |
0.75ml/kg/hour (18ml/kg/day) |
0.83ml/kg/hour (20ml/kg/day) |
Requirements for Term infants /kg (ESPGHAN 2018) |
|
Fat g/kg/day
|
2.0 |
3.0 |
~3.5 |
- |
|
Solivito N (Water soluble vitamins) |
0.6ml/kg/day |
0.9ml/kg/day |
1ml/kg/day |
- |
|
Thiamine (B1) mg |
0.19 |
0.28 |
0.31 |
0.35 – 0.5 |
|
Riboflavin (B2) mg |
0.29 |
0.44 |
0.49 |
0.15 – 0.5 |
|
Nicotinamide (B3) mg |
2.4 |
3.9 |
4.0 |
4 – 6.8 |
|
Pyridoxine(B6) mg |
0.29 |
0.44 |
0.49 |
0.15 – 0.2 |
|
Pantothenate mg |
1.0 |
1.49 |
1.65 |
2.5 |
|
Biotin ug |
3.6 |
5.4 |
6.0 |
5 – 8 |
|
Folic acid ug |
20 |
36 |
40 |
56 |
|
Cyanocobalamin (B12) mg |
0.3 |
0.45 |
0.5 |
0.3 |
|
Vitamin C mg |
6.8 |
10.2 |
11.3 |
15 – 25
|
|
Vitlipid N infant (Fat soluble vitamins) |
2.4ml/kg/day |
3.6ml/kg/day |
4ml/kg/day |
- |
|
Vitamin A |
166ug or 600iu |
248ug or 900iu |
276ug or 1000iu |
150 - 300 ug/kg/d (2300iu/day i.e., NOT per kg) |
|
Vitamin D2 |
2.4ug or 96iu |
3.6ug or 144iu |
4ug or 160iu |
400 iu/kg/d or 40 - 150 iu/kg/d |
|
Vitamin E |
1.54ug or 1.7iu |
2.3 mg or 2.5iu |
2.56mg or 2.8iu |
2.8 - 3.5 mg/kg/d or 2.8 - 3.5 iu/kg/d |
|
Vitamin K |
48ug |
72ug |
80ug |
10 ug/kg/d (recommended, but currently not possible) |
*exact constituent may vary slightly due to the aseptic department rounding up volumes for preparation