Nutrition and Fluid: breast feeding, formula feeding, nutritional disorders, malnutrition, electrolytes Flashcards
Daily infant calory requirement
Daily infant macronutrient requirement
Breast feeding physiology
Breast milk content
WHO recommendation for feeding duration
Benefits of breast feeding
- to infant
- to mother
- to family
- to society
Disadvantages of breast feeding
Breast feeding C/I
Compare nutritional values of mature breast milk vs formula milk
Specialized infant formulas
Examples
Breastmilk weaning advice
Nutritional support for children with chronic illness
Assessment of growth disturbance
Key milestones of growth
Define underweight, stunting, wasting, failure to thrive
Failure to thrive
Physiology of normal nutritional uptake
Gut development in early infancy
Causes of failure to thrive
- Poor nutrition
Causes of failure to thrive
- Increase caloric requirement
Failure to thrive
History taking questions
P/E
Failure to thrive
Investigations
Management of failure to thrive
Dietary and behavioural advice for failure to thrive
Vitamin D
- Source
- Processing
- Function
Vit D deficiency
Clinical presentation
Rickets
Definition
Causes
Rickets
S/S
Rickets
Ix
Mx
Prognosis
Vitamin A
Source
Deficiency
Clinical outcome
Vitamin E
Source
Deficiency cause
Clinical outcome
Vitamin K
Source
Deficiency
Clinical outcome
Vitamin B1,2,3
Source
Cause of deficiency
Clinical outcome
Vitamin B5,6,12
Source
Cause of deficiency
Clinical outcome
Vitamin C, folate
Source
Cause of deficiency
Clinical outcome
Malnutrition
Assessment of nutritional status
Malnutrition
Types
Management
Distribution of total body water
Daily ion/ salt requirement
Define mild, moderate and severe volume depletion
Clinical presentation of mild vs mod vs severe volume depletion
Maintenance fluid calculation
Pre-existing and ongoing fluid loss calculations
Calculate water and Na replacement for 7kg infant ill for >3d, currently 6.3kg (10% dehydration). Na+ 137mmol/L
Calculate water and salt replacement for 7kg infant ill for >3d, currently 6.3kg (10% dehydration). Na+ 115mmol/L
HypoNa dehydration (HypoNa < 130mmol/L)
controlled rate of correction at ≤10-12mmol/L/24h
Calculate water and Na replacement for 7kg infant ill for >3d, currently 6.1kg (10-15% dehydration47). Na+ 160mmol/L
HyperNa dehydration (hyperNa = Na >150mmol/L)
controlled rate of correction at ≤15mmol/L/24h over 48h