PMID: 9170593May 1, 1997Paper

Metabolic bone disease in very-low-birth-weight infants: assessment, prevention, and treatment by neonatal nurse practitioners

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
S L Smith, K T Kirchhoff

Abstract

To describe the current practice of neonatal nurse practitioners in assessing skeletal health and preventing and treating metabolic bone disease in very-low-birth-weight infants. Descriptive, retrospective survey. Neonatal nurse practitioners in the continental United States were systematically randomly selected. A 64% response rate was obtained (112). Responses to questions about assessing skeletal health and preventing and treating metabolic bone disease in very-low-birth-weight infants. Current practice of neonatal nurse practitioners includes assessing skeletal health of very-low-birth-weight infants on the 7th (47.3%) or 14th (19.6%) day of life, with subsequent assessments every 7 (63.3%) or 14 (18.8%) days. Neonatal nurse practitioners (85.1%) estimate the incidence of metabolic bone disease at less than 15%. Neonatal nurse practitioners initiate total parenteral nutrition (99%), provide parenteral calcium and phosphorous in ratios of 1.3-1.7:1 (9%), and add powdered fortifier (90.1%) and liquid fortifier (25.2%) to expressed breast milk. All respondents use formulas made for premature infants. Physical therapy is used by 46.8% of neonatal nurse practitioners. Neonatal nurse practitioners underestimate the incidence of m...Continue Reading

References

Apr 1, 1991·Journal of Pediatric Gastroenterology and Nutrition·J F PeleganoE Horak
Oct 1, 1991·Journal of the American College of Nutrition·W W Koo, R C Tsang
Jul 1, 1985·Archives of Disease in Childhood·O G Brooke, A Lucas
Apr 1, 1995·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·S ShankaranL Fleischmann
Jan 1, 1994·Annual Review of Nutrition·F R Greer

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