feeding difficulties Flashcards
what are the symptoms of a feeding disorder?
feeding at night food refusal lasting >1 month lacking independent feeding refusal of food with certain textures stressful, prolonged meals prolonged bottle feeding failure to attain age appropriate growth centiles.
what are the 6 feeding disorder subtypes in young children?
infinite anorexia, sensory food aversion, reciprocity, post-traumatic type, state regulation, and feeding disorders associated with medical conditions.
what are the red flags for feeding disorders?
dysphagia chocking and aspiration odynophagia or excessive crying and pain on feeding frequent vomiting profuse diarrhoea developmental delay congenital anomalies
in children with red flags for feeding disorders what tests should you order?
FBC
serum protein and albumin, iron, iron binding capacity, ferritin panel, and renal panel.
inflammatory markers (ESR and CRP)
urinalysis
what are the symptoms of anorexia?
rapid weight loss over weeks or months usual eating habits or routines depression or anxiety frequent illness exercising compulsively infrequent or irregular or missed menstrual periods
what is the HEEADSSS assessment
HOME EDUCATION EMPLOYMENT EATING ACTIVITIES DRUGS SEX AND RELATIONSHIPS SELF- HARM AND DEPRESSION SAFETY AND ABUSE
What is referring syndrome?
sudden reversal of prolonged starvation by administering food can lead to reciprocally sudden requirement for electrolytes involved in metabolising it.
preterm infant formula requirement
180 mls/ kg per day
5 days to 3 months formula feeding requirement
150 mls/ kg
from 3 to 6 month formula requirements
120 mls per kg
formula requirements 6 to 9 months
100 mls per kg
formula requirements from 9 to 12 months
60 to 90mls per kg per day
