Malnutrition And Dehydration

MALNUTRITION http://crisbertcualteros.page.tl

COMPUTATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Interpretation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],HFA (stunting) C >95 N 90-94 Mild 85-90 Mod <85 Severe

EXAMPLE ,[object Object],[object Object],[object Object],[object Object]

WATERLOW CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

COMPUTATION FOR TOTAL CALORIC REQUIREMENT (TCR) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EXAMPLE: 1 yr old baby weighing 10kg

A. Solve for TOTAL CALORIC REQUIREMENT (TCR) ,[object Object],[object Object],[object Object]

B. Determine TCR CHON in grams, then convert to calories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

C. Subtract TCR CHON from TCR total then get fraction of CHO & fats (usual ratio 60:40) ,[object Object],[object Object],[object Object]

D. Convert back to grams ,[object Object],[object Object],[object Object]

E. Write final prescription ,[object Object],[object Object],[object Object]

Catch-up Calories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COMPUTATION FOR TOTAL CALORIC REQUIREMENT (TCR) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EXAMPLE: 13yo, girl, BW=29kg

Generalities ,[object Object],[object Object],[object Object],[object Object]

Maintenance fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Components of Maintenance water 05% Stool 35% Insensible (skin and lungs) 60% Urine

[object Object],[object Object],[object Object],Maintenance fluid

Body Weight Method for calculating Maintenance Fluid Volume ,[object Object],The maximum total fluid per day is normally 2,400 ml Eg. 25kg child (1000+500+100) = 1600ml/day 100ml/kg/day, plus 50ml/kg/day, plus 20ml/kg/day 1st 10kg BW 2nd 10kg BW BW > 20kg Total Fluid Requirement BW (kg)

Maintenance fluid to gtts/min ,[object Object],[object Object],[object Object]

Maintenance Fluids ,[object Object],Eg. 25kg child: 25kg x 60ml/kg/d = 1500ml/day 75 100 75 60 50 0-3 3-10 10-20 20-30 >30 Volume of Fluid in 24h (ml/kg/d) Weight (kg)

Maintenance Fluids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eg. 8y.o. girl, 25kg, 125cm BSA = 0.931 TFR = 1488ml/day

Comparison ,[object Object],[object Object],[object Object],[object Object]

Maintenance Electrolytes 1-2 meq /kg / 24 hour Potassium 2-3 meq /kg / 24 hour Sodium

Composition of Intravenous solutions 28 3 4 109 130 Ringer lactate 38.5 38.5 ¼ Normal Saline (0.225% NaCl) 77 77 ½ Normail Saline (0.45% NaCl) 154 154 Normal saline (0.9%NaCl) Lactate- Ca++ K+ Cl+ Na+ Fluid

Adjustments in maintenance Water Hypothyroidism ,[object Object],[object Object],Miscellaneous Oliguria / anuria Polyuria Renal ,[object Object],[object Object],[object Object],Gastrointestinal Tract Humidified ventilator Tachypnea Lungs mist tent ,[object Object],[object Object],[object Object],[object Object],Skin Causes of Decreased water needs Causes of Increased Water needs Source

Replacement Fluid ,[object Object],[object Object],[object Object]

Replacement Fluid ,[object Object],[object Object]

Adjusting Fluid therapy in Diarrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Adjusting Fluid Therapy for Emesis or Nasogastric losses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fluid Management of Specific Fluid & Electrolytes Disturbance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Specific Fluid & Electrolytes Disturbance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment of State of Hydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assessment of State of Hydration

Classify Dehydration ,[object Object],[object Object],[object Object],[object Object]

Additional Clinical Parameters of Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Additional Clinical Parameters of Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Additional Clinical Parameters of Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classify Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classify Dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Deficit Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Plan A: Treat Diarrhea at Home ,[object Object],[object Object]

Treatment Plan B: Treat Some Dehydration with ORS ,[object Object],[object Object],900-1400 700-900 400-700 200-400 In ml 2 yrs-5 yrs 10-<12 kg 6-<10 kg < 5kg Weight 2 yrs-5 yrs 12 mos – 2 yrs 4 mos – 12 mos Up to 4 mos Age

Treatment Plan B: Treat Some Dehydration with ORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Plan B: Treat Some Dehydration with ORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Plan C: Treat severe Dehydration Quickly ,[object Object],* Repeat once if radial is still very weak or not detectable 2 ½ hours 30 minutes* Children (12 mos-5 yrs) 5 hours 1 hour* Infants (under 12 mos) Then give 70 ml / kg in: First give 30 ml / kg in: Age

Treatment Plan C: Treat severe Dehydration Quickly ,[object Object],[object Object],[object Object]

FOOD GUIDES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Please visit: ,[object Object]

Malnutrition And Dehydration

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (20)

Similar to Malnutrition And Dehydration

Similar to Malnutrition And Dehydration (20)

More from DJ CrissCross

More from DJ CrissCross (20)

Recently uploaded

Recently uploaded (20)

Malnutrition And Dehydration