pediatrics Flashcards
Goal of Pediatric nutritional intervention
To achieve normal growth and development from infancy through adolescents to adulthood
The three main challenges in pediatric nutrition management
o Metabolic needs for rapid growth
o Low nutritional reserve
o Macro and micronutrient needs reflect growth phase
for a baby who is malnourished, the first impact will be reflected on ?
growth rate
rank the energy consumption of each component: BMR, thermogenic effects, activity, growth
G>BMR>T>A
7 aspects as in initial assessment
- prenatal HX
- labour, delivery and neonatal events
- Medical Hx of Child
- Growth Hx
- Nutrition Hx
- social Hx
- Review of organ system
tools used for anthropometric measure
growth chart assessment
what info. provided on the chart
weight, length/height, HC, ratio: wt for length, BMI, BW
explain the semiline on the growth chart above 2 y.o. on WHO curve
- puberty varies among age and gender group
- semi-line of weight = projection (full-line: population statistics)
- clinical judgement focuses on BMI
what syndromes has specific growth chart for now
- Prader-Willi syndrome
- Cornelia deLange syndrome
- Turner syndrome
- Trisomy 21 (down’s)
- Rbinstein-taybi
- Marfan
- Achondroplasia
PCTTRMA
Interpretation of growth trends: Plateauing
Moderate to severe chronic malnutrition
Interpretation of growth trends: Sharp decline
Acute malnutrition
Interpretation of growth trends: Fall off 50%ile
Slow growth, mild chronic malnutrition, typically b/c inadequate feeding
Interpretation of growth trends: Inclined BMI
Severe malnutrition: obesity
def. Stunting or nutritional dwarfism
Ht < 2 SD (~95%) for age curve;
Not necessarily associated with emaciation
Can be sole manifestation of nutritional inadequacy
: indicator of chronical nutritional status
DEF. Failure to thrive
Wt - 2 SD below the mean of sex and age
cross two %tile lines after having previously achieved stable growth
indicator of acute nutritional status
what is the growth patter for the individual who has genetic short status
Growth is parallel to the normal centile, but usually below 5%ile
Final adult status is short
what is the curve feature of the kids who has GH deficiency ?
after increasing nutrition intake, weight increases but not height until GH injection. Then, it will catch up to a normal growth pattern
list 4 causes of infant characteristics associated with Failure to thrive
- Chronical medical condition: inadequate intake, increased metabolic rate, malabsorption
- Premature birth or IUGR
- Developmental delay
- Congenital abnormalities
- Intrauterine toxin exposure
list 4 causes of family characteristics associated with Failure to thrive
- Poverty
- Unusual health and nutritional beliefs
- Social isolation
- Disordered feeding technique
- Substance abuse
- Violence or abuse
