Requirements
Formula
Growth Curve
Etiology
Potpourri
100
How much potassium does a term infant need?
2 mEq/kg/day
100
How many kcal/ounce are there in a standard INFANT formula?
20 kcal/ounce
100
How many grams/day should a newborn gain?
26-31 grams per day from 0-3 months
100
What is the most common cause of FTT?
inadequate caloric intake
100
Mechanism of action for mag sulfate?
Relaxation of bronchial smooth muscle
200
How many kcal/kg does a term newborn require for adequate growth?
120 kcal/kg 0 ‐ 3 kg, 100 kcal/kg 3‐ 10kg
200
How many kcal/ounce are there in a standard PEDIATRIC formula?
30 kcal/kg
200
Healthy infant 50%ile on all growth curves with Head Circumference of 45 cm, about how old would you expect him to be?
9 months (birth, - 35 cm 3 months - 40 cm, 9 months - 45 cm, 3 years - 50 cm, 9 years - 55 cm)
200
Mother has been diluting her bottles with only one scoop per two ounces of water because she can't afford to buy more formula. What will this cause?
FTT, hyponatremia, seizures
200
Average age for intussusception?
6-36 months
300
If you are under 20 kg, what organ uses the majority ~ 1/3 of your daily kcal?
your brain!
300
Baby is having significant reflux and poor weight gain. What can you do to the formula to help baby out?
thicken with rice cereal
300
Of the three growth curves, which is the first fall in a child with FTT?
weight
300
What are the four (or three) broad categories when creating a differential?
inadequate intake, poor absorption, increased metabolic demand, poor utilization
300
What are we going to discuss for Friday morning education?
POINT GAME/PAPERS, Discuss Safety Events and Radiology conference, followed by some edumacation.
400
How much protein does a term infant require?
2-3 gram/kg/day
400
What is the difference between Nutramigen and Elecare?
Nutramigen is a hydrolyzed formula broken down into simpler proteins whereas Elecare is completely broken down into amino acids.
400
How much weight per day should a 2 year old gain?
7-9 grams per day from 1- 3 years
400
Work up for FTT infant reveals, poor weight gain, recurrent pulmonary infections, positive sweat chloride. What vitamins do you want to supplement?
ADEK (fat - soluble vitamins)
400
Most common site of intussusception?
ileocecal junction
500
How much sodium dose a term infant need?
3 mEq/kg/day
500
Describe good technique for preparing formula.
2 oz water followed by 2 scoops formula
500
Of the three growth curves which is the most important, ie - which is the most worrisome if you see crossing of percentiles?
Head circumference
500
What physical exam findings would you expect to see in an infant who has FTT secondary to heart failure.
tachypnea, hepatomegaly
500
What are a few common causes of lead points for intussisception?
Meckel's Divereticulum, polys, duplication cyst, lymphoma, reactive lymphoid hyperplasia, bowel wall hematoma (HSP), thick stool (CF), stricture (chron's disease)
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