3 - Paeds - Gastro - Nutrition

Question 1

0-6m + 6-12m - rec daily intake

-energy? protein?

Answer 1

0-6 - 115 kcal/kg, 2.2 g/kg

6-12m - 95 kcal/kg, 2.0 g/kg

Question 2

Risk of failure to thrive from restricted energy intake is greatest when?
signs of overfeeding?

Answer 2

first 6m

GI reflux, obesity, lactose overload (cramps, gas, watery stools, crying)

Question 3

Advantages of breastfeeding?

Answer 3

ideal nutrition
red risk of GI infection + NEC
enhances relationship
red risk of IDDM/HTN + obesity in later life
Mum red Br Ca risk

Question 4

Complications of breastfeeding

Answer 4

unknown quantities
disease transmission
env contaminants
less flexible than formula
risk of breast milk jaundice
nutrient inadequacies

Question 5

foods to avoid if weaned to solids before 6m?

Answer 5

wheat, eggs, fish, food high in salt sugar or honey

Question 6

Formula is based on Cows milk - what is wrong with cow’s milk that needs modifying?

Answer 6

cows milk has too much protein/electrolytes and inadequate iron/vitamins

Question 7

When might specialised formula be needed?

Answer 7

CMPI/allergy
lactose intolerance (coeliac)
CF
neonatal cholestatic disease,
post neonatal intestinal resection