MALNUTRITION IN CHILDREN

Group VIII

OVERVIEW

• Difficult terms• Kebutuhan nutrisi pada bayi• PROBLEMS WITH THIS CASE?• Assessment anthropometrik• Tatalaksana• CONCEPT MAP• Conclusion

DIFFICULT TERMS• Generalised body swelling• Chronic diarrhoea• Low birth weight• Bottle milk preparation?• Lacks Rotavirus immunisation?• Low educational profile of parents• Multiparous• Bitot’s spots• Baggy pants appearance• Bathroom-well distance

NUTRITIONAL REQUIREMENTS: YEARS 1-3

PROBLEMS WITH THIS CASE?

• Length = 74 cm.• Within the 50th percentile for 11-month-olds.• The 50th percentile weight for this stage is 9.5 kg

TATALAKSANA

• 10 MAIN GOALS• Hypoglycaemy: 50mL glucose 10%• Hypothermie: lighting• Dehydration: ReSoMal• Electrolytes: Same• Infection: Cotrimoxazole oral• Micronutriënts: For Fe, give during rehab phase

• VITAMIN A!• Stabilisation and transitional• Catch-up• Stimulation• Home remedy

Stabilisation

• 110 kcal/kgBB/day• 110*7 = 770• F75 770 * (100/75) = 1000mL F75

• 200k unit hari 1, 2, 15.

• All other vitamins and minerals EXCEPT FE

Transition

• F100• Requirements: 9.5*110 = 1045 kcal• 1045 * (100/100) = 1045 mL F100

Rehabilitation

• F135• Requirements: 9.5*110 = 1045 kcal• BUT ADMINISTER MORE FOR CATCHING UP!• 1045 * (100/135) = 800 mL