Undernutrition

Question 1

Greatest risk of undernutrition occurs in

Answer 1

1st 1000 days (0-24 mos)

Question 2

3 Parameters used (WASTING)

Answer 2

Weight for length
Weight for height
MUAC
BMI

Question 3

Measures LINEAR GROWTH

Represents cumulative impact of adverse events

Answer 3

Height for Age (length for age <2)

Question 4

Wasting

Malnutrition

Answer 4

Weight for Height

Question 5

MUAC

Answer 5

11.5-12.5 cm = wasting

<11.5 cm = severe wasting

Question 6

(+) growth failure, wasting, edema, hair changes, mental changes, dermatosis, flaky-paint

(+) fatty infiltration

Answer 6

Kwashiorkor

(+) PROTEIN deficiency

Question 7

Severe wasting and/or Bilateral edema

Extreme thinness – WEIGHT FOR LENGTH (HEIGHT)

Answer 7

SEVERE ACUTE MALNUTRITION (SAM)

Question 8

Reductive Adaptation

Answer 8

fat stores mobilized for energy

protein is mobilized

energy conserved by reducing activity and growth, basal metabolism, functional reserve of organs, inflammatory and immune response

Question 9

10 steps of treatment for SAM

Answer 9

Prevent/treat hypoglycemia

Prevent/treat hypothermia

Prevent/treat dehydration

Correct imbalance of electrolytes

Treat infections

Correct deficiencies of micronutrients

Start cautious feeding
Rebuild wastes tissue (catch up growth)

Provide loving care and play

Prepare for ff up

Question 10

Refeeding Syndrome

Answer 10

Excessive carbohydrates – SURGE OF INSULIN – hypokalemia, hypophosphatemia, hypomagnesemia

Question 11

Hallmark of Refeeding Syndrome

Answer 11

Severe hypophosphatemia