- give extra feeds high in calories and proteins
- supplement with Vitamins A and C, Iron and Zinc
- use aggressive nutritional treatment for burns > 20% TBSA. in this group preferably start naso-enteric feeds 24 hours post burn
- give extra feeds twice daily in burns up to 20%; increase the frequency when TBSA is > 20%
- preferably feed by mouth, if this is not possible feed by the smallest possible nasogastric tube
- weigh patients at least once a week
Vitamins for Paediatric patients:
- Multivitamins
- Iron supplement 2mg/kg elemental iron / day (some suggest up to 2.5mg/kg)
- Ascorbic Acid <2 years 250mg daily , >2 years 500mg daily
- Zinc 1mg/kg/day (of elemental zinc) in 1-3 divided doses
- Women’s and Children’s Hospital – Guidelines for the Management of Paediatric Burns. May 2010
- Clinical Practice Guidelines Nutrition Burn Patient Management. NSW Statewide Burn Injury Service
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