The Piranha Effect: Managing Energy
Expenditures and Caloric Loss to
Promote Optimal Growth in the NICU


Learning Objectives

  • Define the term extrauterine growth restriction/ failure and its impact on long term outcome of the ELBW infant
  • Describe three sources of energy expenditures in the ELBW infant
  • Identify three bedside interventions around tube feeding administration that can improve caloric delivery


terry-johnson-200x200Terry S. Johnson APN, NNP-BC, ASPPS, CLEC, MN
Director, Education and
Professional Development



Target Audience: This 1 hour presentation is designed for the healthcare professional caring for premature infants.

Contact Hours: Provided by Kendra Schreiner, RN, 18160 Cottonwood Rd., PMB 352, Sunriver, OR, an independent provider approved by the CA Board of Registered Nursing, Provider #15828. This program has been approved for 1 contact hour.

What the Enduring Program