Growth and Nutrition Flashcards
breast milk (BM) nutrition
20 kcal/oz
estimated energy requirement for 0-2 mo
boys: 107 kcal/kg/day
girls: 104 kcal/kg/day
estimated energy req for 3 mo
95 kcal/kg/day
estimated energy req for 4-35 mo
82 kcal/kg/day
how much vitamin D
400 IU/day
who gets vitD
breastfed infants
infants or children ingesting <1000 mL/day of VitD formula, food, or milk
adolescents not obtaining 600 IU through fortified milk
how much fluoride
0.5 mg/day
who gets fluoride
infants >6 mo, exclusively breast fed
iron (breastfed)
full-term: 1 mg/kg/day from 4-12mo
pre-term: 2 mg/kg/day from 1-12mo
iron (formula fed)
full term: fortified formula containing 4-12 mg/L of iron until 12mo
pre term: additional 1 mg/kg/day to bring total to 2 mg/kg/day
vitamin/mineral supplement options
Vitamin D, iron, fluoride
GER treatment
nonpharm
supine position, change volume or frequency of feeding, anti-reflux formula
GERD diagnosis pearl
acid suppression trial is NOT recommended for infants and young children as a diagnostic test
(ok for older children and adolescents)
GERD non pharm treatment
antireflux surgery
for: failed medications, adherence issues, life-threatening complications
GERD treatment
H2RAs (famotidine) prn, mild maintenance
PPIs (omeprazole) maintenance, erosive esophagitis
antacids prn
surface agents (sucralfate) adjunct to h2ra and ppi in erosive esophagitis
Duration of treatment for GERD
12 weeks
Taper PPIs over 4 weeks
