infant feeding Flashcards
What is the expected weight gain in an infant from 0-6 months
Double weight
What is the expected weight gain in an infant from 0-1 year old
tripled weight
Describe the volume of feeding and the number of feeds as an infants age increases up to 1 year
The volume increases up to one year but the number of feeds a day reduces
What formulae is given for the dietary management of colic and constipation
Comfrot infant formulae - contains prebiotics
What is CMPA
Cows milk protein allergy - whey and casein
At what age does CMPA present - cows milk protein allergy
<6 months
What is the presentation of CMPA
- Loose watery frequent stools
- Abdo pain
- excessive flatulence
- audible bowel sounds
- infant colic
- nappy rash
- blood or offensive stools
- constipation
- GORD
- food refusal
- eczema
- wheeze or cough
- Hives (urticaria)
- angioedema
- anaphylaxis
- family history of allergies
What causes lactose intolerance
Reduced level of the enzyme lactase - cant breakdown lactose so it is fermemented by bacteria which causes the symptoms such as distention and discomfort
What is the feed choice for feeding and formula in CMPA
- first line - Extensively hydrolysed protein feeds
- 2nd line - amino acid formula
What is the first step of management in breast feeding and formula in CMPA
Advise mother to exclude milk from diet for 4 weeks
What is given to infants for Vitamin D
- 10 ug vitamin D a day from birth to one year unless they are on over 500ml of infant formula
- 10 ug vitamin D a day for every one over one year of age
