Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
From this point the formula may be increased by adding 2 ounces of
skimmed milk each month until the baby is eight months old. For each
ounce of milk added, an equal amount of water should be omitted. The
sugar in the formula should be reduced one half tbs. every three
months.
At six months the baby would be taking--
Cream 6 ounces
Skimmed milk 14 ounces
Boiled water 12 ounces
Sugar of milk 3-1/2 level tbs.
At eight months--
Cream 6 ounces
Skimmed milk 18 ounces
Boiled water 8 ounces
Sugar of milk 3 level tbs.
This amount will not be found sufficient in quantity for a
twenty-four-hour mixture for children of this age. Increasing the
amount of the last formula in the same proportion, it will be--
Cream 9 ounces
Skimmed milk 27 ounces
Boiled water 12 ounces
Sugar of milk 4-1/2 level tbs.
At this age the formula usually may be changed so as to be made from
whole milk instead of cream and skimmed milk. The formula may be made
as follows:
Whole milk 36 ounces
Boiled water 12 ounces
Sugar of milk 4-1/2 level tbs.
From this point on the formula may be increased by replacing the
boiled water with whole milk, two ounces each month up to thirteen
months. At this age the boiled water may be omitted from the formula
one ounce each week. Beginning at the age of eight months the sugar
may be eliminated from the formula, one tablespoonful each month.
_Barley Water._--At the age of five months, or at any time thereafter,
barley water may be substituted for boiled water in the formula. This
should be substituted when the baby is not gaining in weight. It may
be substituted in many instances when the movements are not well
digested.
_Lime Water._--It is frequently found to be advisable to add lime
water. It is not necessary in every instance, but should be given if
the baby is inclined to spit up, or in cases where the stools are too
frequent in number and are slightly green in color.
* * * * *
~Determining the Fuel Value of a Formula.~--The computation of the
fuel value of a formula is very essential since the growth and
development of the infant depends largely upon whether or not its
energy expenditures are well covered. The method is simple, requiring
the same methods used in the computing of other dietaries. Take the
formula just calculated, its fuel value would be estimated as follows:
Thirty-two ounces are equal to 960 grams. In each 100 grams there
would be 3 grams of fat, 2 grams of protein and 6 grains of sugar.
Hence in 9.6 one-hundred-calorie portions there would be 9.6 x 3--28.8
grams of fat, 9.6 x 2--19.2 grams of protein, and 9.6 x 6--57.6 grams
of sugar, in a thirty-two-ounce mixture.
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