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PAEDIATRICS - Coggle Diagram
PAEDIATRICS
Anthropometry
Weight: Bare weight if <10kg or <12months. (near 10g if newborn; 100g infant). If >2 years light clothing on scales
Knee height estimate: >2yrs. LHS, knee ankle 90. Height: 2.69 KH +/-1.1cm don't use for BMI
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BMI for age z scores. Mild -1 to -1.9. Moderate -2 to -2.9 Severe <-3.
Underweight <5th percentile. Obese >95th percentile
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Growth Patterns
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Faltering growth:
crossing 2+ percentile bands over 6 month
persistently below 3rd percentile
weight is >2 percentiles below height percentile
weight for height is <5th percentile
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Malnutrition Ax
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Screening tool. >2 dietitian referral, weight + length/height + food/fluid record
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Z-score anthro: weigth velocity, wt for ht/length, age BMI, ht for age, MUAC
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Deceleration in wt for ht. mild - decline 1 z score, mod 3, severe 3
Nutrient Req
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Protein >2yrs. *note - younger children have higher protein req for growth... upper limit of 4g/kg of bw/day
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Interventions
Breastfed: check volume over 24hr, lactation consultant, top up- with fortified EBM after feed, pump for feeding volume
Formula: Check volume + timing. Formula recipe+technique, increase strength (1.25/0.85kcals/mL if drinking >120mL/kg/day) , add CHO and fats as req.