Parameter | Suggested frequency | |
Initial/hospitalized | Follow-up/home | |
Growth | ||
Weight | Daily | Daily to monthly |
Height | Weekly | Weekly to monthly |
Head circumference | Weekly | Weekly to monthly |
Triceps skin fold | Monthly | Monthly to annually |
Mid-arm muscle circumference | Monthly | Monthly to annually |
Serum* | ||
Electrolytes | Daily to weekly | Weekly to monthly |
BUN, creatinine | Weekly | Monthly |
Calcium, phosphorus, magnesium | Twice weekly | Weekly to monthly |
Acid-base status (venous bicarbonate) | Until stable | Weekly to monthly |
Albumin | Weekly | Weekly to monthly |
Prealbumin¶ | Weekly | Monthly |
Glucose | Daily to weekly | Weekly to monthly |
Triglycerides | Daily while increasing lipid | Weekly to monthly |
Liver function tests (AST, ALT, GGTP, and alkaline phosphatase) | Weekly | Weekly to monthly |
CBC and differential | Weekly | Weekly to monthly |
Platelets | Weekly | Weekly to monthly |
PT, PTT, INR | Weekly | Weekly to monthly |
TSHΔ | As indicated | Every 6 months |
Iron indices◊ | As indicated | Biannually to annually |
Trace elements§ | As indicated | Biannually to annually |
Fat-soluble vitamins¥ | As indicated | Biannually to annually |
Carnitine | As indicated | As indicated |
Ammonia | As indicated | Biannually to annually |
Blood culture from central venous catheter | As indicated | Biannually to annually |
CRP or ESR | As indicated | As indicated |
Urine | ||
Glucose | 2 to 6 times/day | Daily to weekly |
Ketones | 2 to 6 times/day | Daily to weekly |
Iodine and creatinine (spot or 24-hour collection)Δ | As indicated | If TSH is elevated |
Urine specific gravity | As indicated | As indicated |
Urea nitrogen | As indicated | As indicated |
Clinical observations | ||
Vital signs‡ | Daily, or as indicated | Daily, or as indicated |
Intake and output | Daily | Daily |
Check administration system | 6 to 12 times/day | 2 to 6 times/day |
Catheter site/dressing | 6 to 12 times/day | 2 to 6 times/day |
Developmental milestones | As indicated | As indicated |
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