Introduction For 4 decades, the American Academy of Pediatrics (AAP) Pediatric Nutrition handbook has served as an invaluable reference for physicians, nurses, and other professionals caring for newborns, infants, children, and adolescents. With each new edition, this resource has been refined and expanded to provide more comprehensive guidance and the most up-to-date recom- mendations, with the new eighth edition now offering more than 1,700 pages of essential clinical information. As the pediatrician’s role and responsibilities continue to expand, nutritional care of the newborn and infant has emerged as a particularly crucial topic. We now know that virtually every element of a child’s environment in these early weeks—including physical, social, and nutritional—contributes significantly to that child’s development and lifelong health. To support pediatricians and other neonatal health care professionals in ensuring optimal nutrition during this critical period, the AAP is pleased to offer Newborn and Infant Nutrition: A Clinical Decision Support Chart. This brand-new resource zooms in on some of the most valuable point-of-care guidance and tools in the latest edition of the handbook, enlarging and enhancing numerous tables and policy summaries in a colorful, dynamic format that is ideal for visual learners and busy clinicians. Designed to be quickly thumbed or even hung on the office wall, this clinical decision support chart puts the neonatal highlights of Pediatric Nutrition immediately at your fingertips. The materials presented in this chart are derived directly from Pediatric Nutrition and have been reviewed by the AAP Committee on Nutrition to ensure they reflect the most current AAP policy. We hope you will find it a helpful, practical 1 Daily Reference Intakes 3 Breastfeeding Support 4 Hypoglycemia 5 Parenteral Nutrition 7 Nutrition (Enteral) in Special Circumstances 12 Complementary Feeding 15 Vitamin and Mineral Deficiency 21 Food-Drug Interactions by Class 25 Infant Growth Contents American Academy of Pediatrics Publishing Staff Mary Lou White, Chief Product and Services Officer/SVP, Membership, Marketing, and Publishing Mark Grimes, Vice President, Publishing Chris Wiberg, Senior Editor, Professional/Clinical Publishing Theresa Wiener, Production Manager, Clinical and Professional Publications Jason Crase, Manager, Editorial Services Linda Smessaert, MSIMC, Senior Marketing Manager, Professional Resources Published by the American Academy of Pediatrics 345 Park Blvd Itasca, IL 60143 Telephone: 630/626-6000 Facsimile: 847/434-8000 www.aap.org The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical specialists dedicated to the health, safety, and well-being of infants, children, adolescents, and young adults. The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. Statements and opinions expressed are those of the authors and not necessarily those of the American Academy of Pediatrics. Any websites, brand names, products, or manufacturers are mentioned for informational and identification purposes only and do not imply an endorsement by the American Academy of Pediatrics (AAP). The AAP is not responsible for the content of external resources. Information was current at the time of publication. The publishers have made every effort to trace the copyright holders for borrowed material. If they have inadvertently overlooked any, they will be pleased to make the necessary arrangements at the first opportunity. This publication has been developed by the American Academy of Pediatrics. The contributors are expert authorities in the field of pediatrics. No commercial involvement of any kind has been solicited or accepted in the development of the content of this publication. Every effort is made to keep Newborn and Infant Nutrition: A Clinical Decision Support Chart consistent with the most recent advice and information available from the American Academy of Pediatrics. Special discounts are available for bulk purchases of this publication. Email Special Sales at aapsales@aap.org for more information. © 2020 American Academy of Pediatrics All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means—electronic, mechanical, photocopying, recording, or otherwise—without prior written permission from the publisher (locate title at http://ebooks.aappublications.org and click on © Get permissions you may also fax the permissions editor at 847/434-8000 or email permissions@aap.org). Printed in the United States of America 3-354/0220 1 2 3 4 5 6 7 8 9 10 MA0975 ISBN: 978-1-61002-428-0 eBook: 978-1-61002-429-7 Cover and publication design by LSD DESIGN, LLC companion tool to the latest edition of the handbook in our shared mission of ensuring the best health and developmental outcomes for all children. Acknowledgments We are grateful to Steven A. Abrams, MD, FAAP, chair of the AAP Committee on Nutrition, for his input on this first edition of the clinical decision support chart, as well as for his careful review of the materials included. We would also like to thank Erin Freeman, RD, LD Catherine A. Karls, MS, RD, CD, CNSC Teresa M. Lee, MS, RD, LD and Therese Ryzowicz, MS, RD, LD, for their very helpful review of portions of this chart. NUTRITION FLIP CHART - INTERIOR.indd 1 NUTRITION FLIP CHART - INTERIOR.indd 1 5/4/20 5:16 PM 5/4/20 5:16 PM
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