Lime Water.—It is frequently found to be advisable to add lime water. It is not necessary in every instance, but should be given if the baby is inclined to spit up, or in cases where the stools are too frequent in number and are slightly green in color.
Determining the Fuel Value of a Formula.—The computation of the fuel value of a formula is very essential since the growth and development of the infant depends largely upon whether or not its energy expenditures are well covered. The method is simple, requiring the same methods used in the computing of other dietaries. Take the formula just calculated, its fuel value would be estimated as follows: Thirty-two ounces are equal to 960 grams. In each 100 grams there would be 3 grams of fat, 2 grams of protein and 6 grains of sugar. Hence in 9.6 one-hundred-calorie portions there would be 9.6 × 3—28.8 grams of fat, 9.6 × 2—19.2 grams of protein, and 9.6 × 6—57.6 grams of sugar, in a thirty-two-ounce mixture.
To determine the fuel value of the formula, these results must be multiplied by their physiological fuel factors, 9 and 4 and 4 respectively. Thus:
| 29 × 9 | = | 261 | calories from fat |
| 19 × 4 | = | 76 | calories from protein |
| 58 × 4 | = | 232 | calories from sugar, or a total of |
| 569 | calories for the entire mixture. |
Scheme for Adding Solids to Infants’ Diet.—
From 9th to 15th month:
From 15 months to 2½ years:
| 8 A.M.— | Stewed fruit or orange juice; cereal, crisp bacon, alternated with soft-cooked or poached egg; bread and butter or toast, milk or weak cocoa. |
| 12 or 1 P.M.— | Meat or vegetable soup thickened with cereal; lamb chop, scraped beef or chicken or beef juice; baked or mashed potato; strained spinach; carrots; turnips or celery; gelatin, custard, or cornstarch pudding. |
| 3 P.M.— | Crackers and milk. |
| 6 or 7 P.M.— | Bread and milk or cereal; baked apple or apple sauce. |
From 3 to 6 years: