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Can I use  infatrini milk in patient pulmonary stenosis with CHD and renal impairment

Hossam Elgnainy Answered question May 16, 2025
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What is Infatrini?

  • Infatrini is a high-energy, nutrient-dense, ready-to-feed infant formula.
  • Designed for infants with growth failure, increased energy needs, or fluid restrictions.
  • Provides 100 kcal/100 mL and contains relatively high protein, sodium, potassium, and phosphorus compared to standard formulas.


Key Concerns in This Case:
1. Pulmonary Stenosis and CHD:

  • These conditions can lead to increased energy expenditure and failure to thrive.
  • Infatrini can be beneficial for providing adequate calories in fluid-restricted patients.

2. Renal Impairment:

  • Renal impairment often requires restriction of sodium, potassium, phosphorus, and possibly protein, depending on severity.
  • Infatrini is high in these electrolytes, which may exacerbate renal issues, especially if GFR is significantly reduced or if the patient has oliguria/anuria.


Summary:

Condition
Infatrini Use
Notes

Pulmonary Stenosis
Yes (beneficial)
High energy content supports growth

CHD (with fluid restriction)
Yes (common use)
Useful for energy in limited fluid volume

Renal Impairment
Caution / Possibly No
Risk of electrolyte overload, especially if moderate/severe

  • If Infatrini must be used, monitor serum electrolytes and fluid status closely.
Hossam Elgnainy Answered question May 16, 2025
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