Failure to Thrive Flashcards
Def
Insufficient nutrition defined as
Weight for age below
Weight for length below
Weight that crosses more than
inappropriate weight gain in children
3rd percentile
10th percentile
2 major percentile lines
Poor growth is a result of
____ leading to inadequate nutrient supply
Increased ____ ____ due to hypermetabolic states
Inadequate ____ of calories
insufficient calories for expenditure
Malabsorption
caloric expenditure
intake
Inadequate intake is most common, results from
typically, ___ etiology at time of dx
many different factors
no
Failute to thrive divided into 2 categories
Inadequate nutrient intake causes
I\_\_\_\_\_\_ P\_\_\_\_\_\_ P\_\_\_\_\_\_ G\_\_\_\_\_\_ C\_\_\_\_\_ N\_\_\_\_\_\_
medical and psychosocial
inappropriate feeding Poor nutritional knowledge Poverty GERD Cleft palate NM dz
Inadequate appetitie
O\_\_\_\_ C\_\_\_\_\_ C\_\_\_\_\_ C\_\_\_\_\_ C\_\_\_\_\_ G\_\_\_\_\_\_
Malabsorption
C\_\_\_\_ C\_\_\_\_ I\_\_\_\_\_ M\_\_\_\_\_ I\_\_\_\_\_\_\_ P\_\_\_\_\_\_ I\_\_\_\_\_\_
oral aversion CP Dz Chronic infection Cerebral palsy Constipation Genetic syndromes
Celiac Dz CF IBD Milk aversion Infectious diarrhea Pyloric stenosis Intestinal Obst
Hypermetabolic states
H\_\_\_\_ M\_\_\_\_ I\_\_\_\_ J\_\_\_\_\_\_ I\_\_\_\_\_\_ C\_\_\_\_\_\_
Hyperthyroid Malignancy IBD JIA Inborn errors of metabolism CP dz
Evaluation starts with
Diarrhea
Constipation
Vomiting
Frequent Infections
Polyuria/dipsia/phagia
Tachypnea w eating
obtaining accurate weight/time of wl, nutrition habits, sx
Malabsorption (Celiac, CF, food allergy, IBD)
Encoparesis, intest dysmotility
GERD, pyloric stenosis, IO
Immunodef
DM
CP dz
PE directed towards
Management
Prognosis
accurate measurements of w/h, signs of dz, malnutrition
administer adequate calories to meet metabolic needs
usually rebound, others have developmental/cognitive delays
