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Prediatric Nutrition Assessment. Infancy (0-12 months). Preschool (1-5 years). School Age (5-11years). Adolescent (11-19 years). Birth Classification Definitions:. Gestation: Preterm < 37 week gestation

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slide2

Infancy (0-12 months).

  • Preschool (1-5 years).
  • School Age (5-11years).
  • Adolescent (11-19 years).
birth classification definitions
Birth Classification Definitions:

Gestation:

  • Preterm < 37 week gestation
  • Term 37-42 week gestation
  • Post Term > 42 week gestation
birth classification definitions1
Birth Classification Definitions:

Birth Weight:

  • Low birth weight < 2,000 g
  • Very low birth weight <1,500 g
  • Extremely low birth weight < 1000 g
correcting gestational age
Correcting Gestational Age
  • Calculate the number of weeks the infant was premature:

{ 40 weeks (term) – birth gestation }

  • Number of weeks early = the correction factor
  • Chronological age – correction factor= adjusted age for prematurity.
example
Example
  • 40 weeks (baseline age for full term gestation) – 28 weeks gestation = 12 weeks ( 3 months premature).
  • 3 months is the correction factor.
  • 5 months (chronological age) – 3 months corrected factor = 2 months (adjusted age).
apgar score
APGAR Score:
  • Appearance, Pulse, Grimace, Activity, Respiration.
  • The APGAR test is done by a doctor, midwife, or nurse.
  • The health care provider will examine the baby's: Breathing effort, Heart rate, Muscle tone Reflexes, Skin color.
  • The APGAR rating is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth.
assessment
Assessment:
  • Wt/age
  • Ht/age
  • IBwt/age
  • IBwt/Ht
  • %Wt
  • %ABwt/Ht
  • HC/Age
  • Current age
  • BMI (for children of age 2-20 years)= Wt/Ht2
assessment1
Assessment:
  • Acute Nutritional Status: Actual Weight

50th Percentile Weight/Height

  • Chronic Nutritional Status: Actual Height

50Th Percentile Height/Age

100

100

percentage of weight change
Percentage Of Weight Change:
  • % Weight change= Usual body weight _ Current weight

Usual Body weight

  • % Usual Body Weight= Actual weight

Usual Weight

  • % Ideal Body Weight= Actual weight

IBW at 50 th percentile for age

100

100

100

biochemical
Biochemical
  • Albumin
  • Hemoglobin/Hematocrit
  • Cholesterol
  • TG
  • Serum glucose
requirements
Requirements

Fluids:

  • 1st 10 kg  100 ml/kg
  • 11-20 kg  1000 + 50 ml/kg above 10
  • >20 kg  1500 + 20 ml/kg above 20

Carbohydrates:

  • 50-65%

Fat:

  • 30-40%

Vitamins and Minerals

clinical assessment
Clinical Assessment
  • Prenatal History
  • Dietary History
  • Formula Preparation
  • Solid food intake
  • Current medical condition
  • Physical
failure to thrive
Failure To Thrive
  • Poor Weight gain and physical growth over an extended period of time in infancy.
  • Organic Failure to Thrive: Inadequate weight or height gain resulting from a diagnosis medical illness.
  • Non Organic Failure to Thrive: Inadequate weight or height gain without an identifiable biological cause, so that an environmental cause is suspected.
estimating calorie protien for catch up growth
Estimating Calorie&Protien for Catch-up Growth:
  • Catch-up growth requirements (kcal/kg/day)=

Calorie required for weight age (kcal/kg/day) Ideal weight for age (kg)

Actual Weight (kg)

  • Protein Requirements (g/kg/day)=

Protein required for weight age (g/kg/day) Ideal Weight for age (kg)

Actual Weight (kg)

types of formula
Types Of Formula
  • Cow’s milk-based formula.
  • Soy-based formula.
  • Protein hydrolysate formula.
  • Free amino acid formula.
  • Lactose free formula (LF).
  • Anti regurgitation (AR).
  • Hypo Allergenic (HA).
  • Special formula.
  • Follow up formula.
early feeding problems
Early Feeding Problems
  • Formula Intolerance.
  • Constipation.
  • Gastroesophageal Reflux (GER)