Term
| Using the Waterlow classification wasted, not stunted children suffer from what? |
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Definition
| Acute PEM = wasted not stunted. |
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Term
| Using the waterlow classification wasted and stunted children suffer from what? |
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Definition
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Term
| Using the Waterlow classification stunted not wasted children suffer from what? |
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Definition
| past PEM = stunted not wasted |
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Term
| The tell tale signs of an underweight child are... |
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Definition
| wasted muscles, infected more often and more severely. |
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Term
The tell tale signs of a child suffering from marasmus are....
(10 points) |
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Definition
- wrinkled face
- hair normal but easily plucked out
- no fat
- gross muscle wasting
- grossly underweight
- vomiting of food
- low heart rate
- low blood pressure
- low body temperature
- thin dry skin. |
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Term
| What are the tell tale signs of a dehydrated child? (8 points) |
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Definition
- little urine
- thirsty
- dry mouth
- sunken eyes
- sunken fontanelle (top of head)
- fast weak pulse
- the child's skinfold stays up for more than 2 seconds when pinched/pulled. |
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Term
| The tell tale signs of Kwashikor are.... |
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Definition
- Thin pale weak hair
- mild anaemia
- usually underweight
- finger leaves a hole when you press
- apathetic/will not eat
- thin upper arm
- flaking paint rash
- oedema
- also: enlarged liver, fatty liver, protruding abdomen, reduced muscle tone
- skin can be blotchy with different colours. |
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Term
| Which is more dangerous and difficult to treat marasmus or kwashikor? |
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Definition
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Term
| Outline the treatment for diarrhoea without very severe malnutrition. |
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Definition
WHO oral rehydration mixture composed of ... in mmol/l
-111 glucose
-90 Na
-30 bicarbonate
-20 K |
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Term
| Describe how to make the cheap alternative to WHO oral rehydration mixture suitable for use in treatment of diarrhoea without very severe malnutrition. |
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Definition
Oral rehydration mixture suitable for use in treatment of those with diarrhoea without very severe malnutrition.
-5g salt
-30g sugar
-1 litre water
-banana (for K) |
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Term
| Outline the treatment of dehydration in cases of severe infant malnutrition. |
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Definition
| Babies should be fed with 5ml/kg ReSoMal every 30 minutes and observed for a slowing in pulse and starting urination. |
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Term
| Outline the treatment for hypoglycaemia and hyperthermia in babies with severe malnutrition. |
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Definition
| Babies should be laid on the chest of the mother and the two should be covered in a blanket. The baby should be fed every 2 hours and at night. |
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Term
| How do you treat anaemia in severely malnourished babies? |
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Definition
| To treat anaemia iron should be given however iron should not be given to the child until it is in recovery which should take on average one week of F-75 feeding, prevention or treatment of hypothermia, hypoglycaemia and dehydration |
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Term
| Outline the treatment of severe infant malnutrition. |
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Definition
- Treat the baby for hypoglycaemia, hyperthermia and dehydration.
- Feed the baby with F-75 every 2 hours and at night.
- Proceed to F-100 (higher energymix)
- Prepare the baby for discharge - engaged and educated mother, stimulated and recovering baby.
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