NURS 216 Lecture Notes - Lecture 23: Lactose Intolerance, Infant Formula, Colostrum

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Nutrition: the science of optimal cellular metabolism and its impacts on health and disease. Nutritional status: optimal or balanced nutritional levels or suboptimal (excess or deficit) Digestion: chewing, fundal mixing, enzymes and peristalsis saliva (amylase) gastric enzymes pancreatic enzymes bile. Absorption: duodenum jejunum ileum large intestine (water) Nutrient metabolism: cellular utilization of nutrients for energy production. Depend on the mother"s supply of breastmilk or alternatives. Colostrum: immunologic, low lactose, breast milk 1-3 days post delivery. Transitional milk: increasing in an amount of lactose, protein and fats (3-14 days post delivery) Mature milk/foremilk: higher in free water, lower calorie and fat and hindmilk. Oxytocin: milk let down and ejection suclking stimulates hormones. Breast emptying: latch, audible swallowing and emptied breast post breastfeeding exclusively for 6 months. 400 iu of vitamin d per day (for up to 2 years) infant formula (with vitamin d added to most formulas) Infection such as hiv or active herpes on nipples.

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