Pediatric Case Study

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Pediatric Case Study A Closer Look at Trisomy 18 and Tetralogy of Fallot

Ashley Spence University of Maryland Dietetic Intern


Objectives 

Understand the Disease

Meet the Patient

Nutrition Assessment

Prognosis, Outcomes, Summary


Understanding the Disease Trisomy 18 and Tetralogy of Fallot


Trisomy 18 •

3 copies of chromosome 18 in every cell of the body.

•

Humans usually have two copies of chromosome 18.


T18 Characteristics 

Complex medical problems and birth defects 

Heart defects

Brain, spinal cord, and other internal organs

Cleft lip or palate

Club foot, hernia

Renal abnormalities

Difficulty regulating breathing and temperature

Feeding difficulties

Intrauterine growth retardation and low birth weight


Tetralogy of Fallot •

Type of congestive heart defect characteristic of four defects

•

Cyanotic heart legion resulting in decreased/below normal oxygenated blood flow


CHD/ToF Characteristics 

Group of four structural defects resulting in decreased amounts of oxygenated blood circulating through out the body

Heart is forced to work harder

Increased work of breathing

Increased energy needs

Decreased po intake due to fatigue with feeds

Poor absorption of nutrients from the digestive tract

Growth disturbances noted in weight and height

FTT Woldu et al, 2014


Nutrition for CHD 

Energy Needs: 

0-.5 months- 120-150 kcal/kg day

Based on Catch Up Growth for Children with CHD

Protein Needs: 

0-.5months- 2.2-3.5 g/kg/day

Based on Catch Up Growth for Children with CHD

Intubated with TPN~ 80 kcals/kg

Extubated with TPN~ 90-100 kcal/kg

Intubated with EN~90 kcal/kg

Extubated with EN ~ 120-150 kcal/kg

Fluid needs: 

100 mL/kg

(Based on Holiday Segar Method (100 mL/kg)

Abad-SindenA, 2001


MEET THE PATIENT 

Patient is referred to as J.W.

2.6 months old

Male

Multiple medical conditions: 

Trisomy 18 (T18)

Tetralogy of Fallot (ToF, a Congestive Heart Disease defect)


Report Upon Admission 

Hospitalized at birth for CHD

Transfer patient from CHKD 

Determined not a good candidate for surgical correction

Receiving NG /ND tube feeds 

Enfamil/BM, 24 kcal @ 23 mL/hr x24 hrs

3.5 kg or 3500g 

50.5 cm 

Weight for age %tile- <3

Height for length %tile- <2

Head Circumference-36.5 cm 

HC for age %tile- <2


Report Upon Admission Cont’d Past Medical History 

  

Episodes of bradycardia with desaturation

Left club foot Hernia Mom attempting bottle feeds but not going well due to desaturation

Significant Medications 

Epinephrine

Vasopressin

Furosemide

NaCl, KCl

Dopamine, Fentanyl, Prednisolone

Caffeine

Sodium Bicarbonate


Nutrition Assessment


Diet History 

Prior to admission: patient is a transfer from Children’s Hospital of the King’s Daughter, CHKD, southeastern VA.

Feeding history: 

Home diet included breast feeding-breast milk and formula.

Prior to admission, the patient’s mother reported she was attempting bottle feeds. However, they were not doing well. The patient was then transitioned to NG feeds and later advanced to ND feeds 2/2 issues with desaturation.


Diet History Cont’d 

Previous Hospital : enteral feeds  Enfamil/BM

Caloric Density: 24 kcal/oz

Schedule: 23 mL/hr x 24 hrs

Tolerance issues (nausea/vomiting, diarrhea/constipation)-None documented

Vitamin/Mineral Supplements: None listed

Food Allergies: none reported


Weight Assessment 

Weight for Age 

3.5 kg

<3 percentile

Height for Age 

50.5 cm

<2 percentile


Weight Assessment 

Head Circumference for Age 

36.5 cm

<2 percentile

Weight for Length 

50th percentile


Lab Values Labs

2/5

2/6

2/7

2/8

2/9

2/10

2/11

2/12

2/13

Na

139

145 H

144 H

139

137

145 H

146 H

144 H

136

K+

4.0

3.8

3.9

4.1

3.7

3.9

3.1 L

3.4 L

6.0 H*

Cl

102

104

105

102

104

108

112 H

109 H

102

CO2

26 H

25 H

27 H

20

21

24 H

22

23

22

BUN*

9

13 H

17 H

26 H

29 H

39 H

30 H

29 H

42 H

Cr*

0.4

0.6 H

0.8H

1.0H

0.6 H

0.7 H

0.5

0.3

0.7 H

Glucose

80

146 H

129 H

115

105

102

134 H

107

95

Ca

9.7

11

9.4

8.3 L

9.5

9.8

9.3

9.9

9.7

Mg

2.2

1.8


Medications 

Patient has several continuous medications given via IV/fluid

Medications administered using much of maintenances fluid needs

Epinephrine- feeding is not recommended while on “pressors” due to complications with perfusion, nutrient absorption, and potentially ischemic gut.

Furosemide- “Lasix” can deplete potassium, sodium, and electrolyte stores.




NI 1.4



Inadequate energy intake related to OR/need for surgery as evidenced by NPO status.

PES Statement


Estimated Needs 

Energy  Kcals/kg: 120-150 kcal/kg/day

Protein  Grams protein/kg: 2.2-3.5 g/kg/day

Fluid  mL/day to meet maintenance fluid needs: 100 mL/kg


Recommendations 

Initial Consult: 

When medically able resume ND feeds of 24 kcal/oz BM/enfamil @ 23 mL/hr x 24 hrs to provide 158 mL/kg fluid, 126 kcal/kg, 2.7 gm PRO.

Order Implemented: TPN 

95 mL/kg fluid, D 13% (GIR 3.3 mg/kg/min), 2 gm/kg lipids provides 42 kcal/kg/day

Monitor for ability to liberalize fluid restriction and advance TPN by GIR of 1-2 mg/kg/day daily to goal of 10-12 mg/kg/day.

Advance protein to goal of 2.5-3 gm/kg/day

Advance lipids by 1 gm/kg/day to goal of 3 gm/kg/day

Advance to goal intubated kcals of ~80 kcal/kg/day or extubated kcals 90-100 kcal/kg/day


Risk Level 

High/Severe 

NPO status and need for TPN

Intubated

Surgery

Open chest

Poor po PTA


Intake at Follow Up 

2/9 

2/12 

D19, 34 kcal/kg, 85 mL/kg, 1.5 gm/kg protein, 1 gm/kg lipid

D 13, 42 kcal/kg, 95 mL/kg, 2 gm/kg protein, 2 gm/kg lipid

2/13 

D18, 48 kcal/kg, 95 mL/kg, 2 gm/kg protein, 2 gm/kg lipid


At Last Follow Up 

2/19 

Patient intubated on TPN

TPN advanced to goal

Received 100% of nutrition needs in last 24 hours  110 mL/kg, D22, GIR 10.1, 2.5 gm PRO/kg/day, 2.5 gm lipids/kg/day

Significant weight gain due to fluid status (4.19 kg)

No actual weight gain since admission


Follow Up Recommendations 

Recommendations:

Monitor for the ability to initiate ND feeds with BM/Enfamil 20 kcal/oz @ 3mL/hr. Advance by 3 mL Q8H to goal intubated rate of 20 mL/hr (137 mL fluid, 91 kcal/kg, 1.9 gm/kg protein)

Once extubated advance to 23 mL/hr and concentrate BM by 2 kcal/oz/day to goal of 24 kcal/oz (home regimen)


Future Plan 

Overall-Ideally patient would be transitioned from TPN to po feeds when stable.

Parenteral nutrition- when medically able, patient will be weaned from TPN to enteral feeds.

Enteral nutrition- when medically stable, patient will be transitioned to enteral feeds via NG, then condensed.


Summary 

T18 and Tof have the potential to negatively impact growth and development.



CHD plays a vital role in determining estimated needs due to need for catch up growth.



Early nutritional intervention and surgical correction are strongly recommended.


References 

Children’s National Pediatric Nutrition Assessment Slides. January 25, 2015

Children’s National Pediatric CICU/HKU Manual. February 2015

Abad-SindenA, Sutphen JL. Growth and Nutrition . In: Emmanoullides GC, Riemenschneider TA, Allen HD, Gutgessel HP, eds. Moss and Adams Heart Disease in Infants, Children, and Adolescents, Including the Fetus and Young Adult. 6th edition. Baltimore Md:Lippincott, William and Wilkins; 2001:324331

Wessel JJ, Sam PQ. Cardiology. In Samour PQ,King K eds. Handbook of Pediatric Nutrition 3rd edition. Sudbury, MA: Jones and Bartlett Publishers Inc; 2005: 407-420

Woldu, Krista, Arya Bhawna, Emile Bacha, Isamee Williams. Impact of Neonatal versus Nonneonatal Total Repair of Tetralogy of Fallot on Growth in the First Year of Life. The Society of Thoracic Surgeons. New York, New York. 2014: 1399-404.


Thank You!


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