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Vitamin d deficiency in children
 

Vitamin d deficiency in children

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Vitamin d deficiency in children

Vitamin d deficiency in children

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    Vitamin d deficiency in children Vitamin d deficiency in children Presentation Transcript

    • Vitamin D Deficiency In Children
      • Vitamin D Deficiency Remains the Most Common Cause of
      • RICKETS
      Chapter 48 18 th Edition
      • BREAST-FED INFANTS , Because of the Low Vitamin D Content of Breast Milk, Rely on Cutaneous Synthesis or Vitamin Supplements.
      Chapter 48 18 th Edition
      • Cutaneous synthesis can be limited due to the
      • Ineffectiveness of the Winter Sun in Stimulating Vitamin D Synthesis
      • Avoidance of Sunlight Due to Concerns About Cancer
      Chapter 48 18 th Edition
      • Cutaneous synthesis can be limited due to the
      • Cultural Practices &
      • Decreased Cutaneous Synthesis Because of
      • INCREASED SKIN PIGMENTATION
      Chapter 48 18 th Edition
      • Vitamin D deficiency is now recognized as a PANDEMIC
      2008 Apr;87(4):1080S-6S.
      • Hypovitaminosis D Appears to Be on the Rise in Young Children, With Implications for SKELETAL and OVERALL HEALTH
      2008 Jul;93(7):2716-21.
      • A High Prevalence of Vitamin D Deficiency Was Found in Breastfed Infants and
      • NURSING MOTHERS , Predominantly Among Those Belonging to the Upper Socioeconomic Class.
      1998 Jul;87(7):737-40.
      • Children With Nutritional Vitamin D Deficiency Should Receive Vitamin D and Adequate Nutritional Intake of Calcium and Phosphorus.
      Chapter 48 18 th Edition
      • STOSS THERAPY
      • 300,000–600,000 IU of Vitamin D Are Administered Orally or Intramuscularly As 2–4 Doses Over 1 Day.
      • Stoss Therapy Is Ideal in Situations Where Adherence to Therapy Is Questionable.
      Chapter 48 18 th Edition
      • CHOLECALCIFEROL (100 000 IU) is a safe, effective, and simple way to increase calcidiol concentrations
      Vol. 87, No. 3, 688-691, March 2008.
    •  
    •  
      • Oral / IM Ampoule
      • Containing
      • 5mg Cholecalciferol eq to 200,000 IU Cholecalciferol
    • Increase in Serum 25-hydroxyvitamin D after one month of CARA IN D 100,000 IU Dose in Children Journal of Steroid Biochemistry and Molecular Biology Volume 103, Issues 3-5, Mar 2007, Pages 651-654
      • Dose
      • Prevention
      • Infants Receiving Vitamin Enriched Milk
      • ½ Ampoule (100,000 IU) Every 6 Months
      • Nursed Infants
      • 1 Ampoule (200,000 IU) Every 6 Months
      LIGHT RESISTANT AMPOULE PACKAGING
      • Thank You