Infant Formulas and Colic Flashcards
What are infant formulas trying to mimic?
breast milk
What is the best form of nutrition for an infant? How long should this form of nutrition be administered?
breast milk
should be administered for the first 6 months of life but it can haves benefits up to 2yrs
What is Lansinoh?
a cream used for painful breasts during breast-feeding
safe for mom and baby
Is Enfamil A+ actually the #1 infant formula?
no
it was just based off the results of a survey
Do any formulas have proven benefits for allergy prevention?
no
What is the only likely mistake you could make with an infant formula?
forgetting to dilute with water (if the formula requires dilution)
What is the best way to describe standard formula?
Ensure for kids
cows milk combined with all the nutrients that infants need
What is the issue with labelling infant formulas as “iron-fortified”?
formulas are fortified in all other nutrients so this is misleading, there’s no point in exclusively labelling iron as fortified
True or false: as a pharmacist we should recommend infant formulas that are lower in iron?
false
pediatrician assessment
What is more common, milk protein allergy or congenital lactase deficiency?
milk protein allergy is far more common
congenital lactase deficiency is very rare
At what age is lactase activity programmed to decline? At what age do symptoms tend to appear?
2
20
What is secondary lactase deficiency?
the flu can harm the activity of lactase which leads to temporary lactase deficiency, quite common
When should we add cows milk to a childs diet? What type of milk?
introduce at about 1 year
whole milk
How long should whole milk be in the childs diet?
from year 1 until year 2
What is the issue with infant formulas that advertise for 12-36 month year olds?
we want kids to take interest in food
What can a thickener do in a formula?
it contains extra rice starch to make the formula thicker to make the formula harder to gurgle up
What are the most common reasons for spit up?
swallowing air (most common)
overeating (most common)
sensitivity to allergens in breast milk
What does the A+ in Enfamil A+ mean?
it is trying to say “take this formula to have a smarter kid” due to the presence of EFAs
True or false: a probiotic in an infant formula is totally fine
true
What is the medical definition of colic?
crying of 3 hours per day, 3 days per week, for more than 3 weeks
baby is inconsolable
When does colic go away?
suddenly, there is no timeline
What are the key characteristics to knowing the baby has colic and not some other serious issue?
the child is fine between episodes, eats well, and is gaining weight
True or false: whether your child is breast-fed or formula-fed can have an impact on the development of colic
false, non factor
What are some theories for the cause of colic?
IT IS UNDEFINED
gas?
emotional distress?
gut spasms?
maternal habits?
GERD?
constipation?
What % of colic cases are from organic causes?
5%
Could lactose intolerance be the cause of colic?
no, if the child is the rare case of LI then this is no longer colic
True or false: pharmacists are not involved in colic or LI assessment
true, pediatrician job
What are some non-drug remedies for colic?
re-positioning child
stimulation
de-stimulation
changing infant formulas
What is the anti-colic bottle?
a bottle that has a pump designed to pump in less air
What are some drug therapy remedies for colic?
Ovol (simethicone)
gripe water
probiotics
What does simethicone do? What is the consensus on its safety?
de-foaming agent, gas bubble collection and then this bubble is burped or tooted out
very safe, no side effects
Is simethicone effective? When should it be given?
questionable effectiveness, it will have no true effect for colic because we dont truly know what colic is
given after each feeding
Is Bentylol (diyclomine) used in colic? If no, why?
not given for colic
it is contraindicated in patients under 6 months
What should parents be made aware of when giving a colic kid Ovol or gripe water?
lower their expectations, knowing there is not much value in them for colic
Does gripe water with alcohol have any serious concerns?
no, it just has some alcohol to dissolve the stuff in there
What is wrong with Cocyntal?
it is 100% homeopathic
How safe is introducing new bacteria to a baby?
totally fine, babies are introduced to new bacteria all the time
Are the 3 remedies for colic going to work?
no it is a leap of faith
very little clinical value
True or false: not allowing kids to have exposure to possible allergy trigger foods will prevent the development of allergies
false
getting it at some point is better than never
What kind of formula should you recommend for an infant who has been diagnosed with GERD?
thickened formula
What are the types of infant formulation? Rank them from most expensive to cheapest.
ready-to-feed: completely ready, no steps required for preparation
concentrate: water needed
powder: water needed
RTF>concentrate>powder
ALL ARE THE SAME NUTRITIONAL VALUE
When does colic peak? In regards to the peak, is teething pain a probable cause?
colic peaks around 3rd or 4th month
no, teething pain starts around 4th month and if its teething pain then it is no longer colic
We know congenital lactose intolerance is very rare. What would be some signs that an infant actually is lactose intolerant?
from birth, the baby would have severe diarrhea and unable to tolerate breast-milk or cows milk formula
