I am writing to you to ask for help in challenging a problem I have faced lately. In newborns with low birth weight minimal enteral feeding (MEF) should be introduced as soon as possible. Volume of MEF and it's components are not included in daily intake though. How to calculate the composition of food if enteral feeding will exceed MEF? Should the components given with parenteral and enteral nutrition be sumed up or should the part of food corresponing to MEF be removed?
These information will help me to improve the spreadsheet describing composition of parenteral nutrition taking into account the enteral feeding.
Krzysztof Stempniewicz MD