faltering growth Flashcards
what is the avergae weight gain for newborns between 0-12 months ?
6.6 kg a year
wgat is the avergae weight gain for children between 1-2 years ?
2.4 kg a year
what is the averga eqeight gain for children between 2-3 years ?
2 kga year
what is the definition of mild failure to thrive ?
a fall across two centile lines
what is the definition of severe failure to thrive ?
a fall across three centile lines
what are the feeding problems associated with infants ?
cleft lip palate
reflux
allergies
what are the feeding problems associated with toddlers ?
behavioural problems
picky eaters
what are the feeding problems associated with school-age children n?
eating disorders mainly
what is mid upper arm circumference a measure off ?
muscle mass
what anthropometric measure is used for measure of fat stores ?
tricep skin fold
what value in MUAC is associated with malnutritions ?
below 115 mm
how should plotting for preterm babies be done ?
any baby born before 37 weeks should be plotted
subtract the number of weeks away from 40 weeks
no need for adjusted age if using a preterm growth chart
how long is adjusted age for preterm babies used ?
up until 1 year
what are the faltering growth- abnormal patterns ?
falling centiles - downward deviation poor parallel centiles weight and height marked discrepancy retrospective rise saw-tooth fluctuations
what is poor parallel centiles ?
a child who has adapted to poor nutrition or any other cause affecting their growth
growing , gaining weight or height but not to their fullest potential
what is retrospective rise ?
sudden improve in centiles
what is saw-tooth fluctuations ?
crossing and re-crossing centiles , as long as it is within one centile it is normal
what diseases associated with weaning can cause FTT ?
gastroenteritis
celiac disease
CMPA
what is the suggested frequency of meals ?
3 meals and 2 snacks
what are the indications for extensivley hydrolyzed milk ?
CMPA
short bowel syndrome
malabsorption
atopic eczema
what are the indications for soy milk formula ?
strictly vegan infants
galactosemia
IgE mediated CMPA
what are the indications for Amino Acid formulas ?
picky eaters CMPA not responding to hydrolyzed formula GERD short bowel syndrome protracted intractable diarrhea
what is the problem in PKU ?
deficiency in phenylalanine hydroxylase
what are the methods of treatment involving PKU ?
large neutral amino acids
enzyme enhancement therapy (Saproptrein)
enzyme replacement therapy ( palynziq)
