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34 Cards in this Set
- Front
- Back
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What % of infants show a CMP allergy?
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5-15%
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___ is deficiency of lactase enzymes used to break down milk sugars.
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lactose intolerance
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__ is an immunological reaction to the protein in cows milk.
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Cow's milk allergy
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What type of immune rxns occur with CMP allergy?
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-exposure to allergan
-development of antibodies -sensitization of mast cells and subsequent degranulization of mast cells and release of immune modulators |
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Is CMP allergy Ige mediated or not?
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can be either rxn type
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The allergic rxn to CMP can be either immediate or delayed __ hours
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24-36 hours
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The average newborn weighs __?
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7.7 pounds
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Within the 1st days of life the usual newborn loses how much wt? By when should they gain it back?
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5-10% body wt. loss
regained within 2 weeks |
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From 0-3 months of age, an infant should gain __/day
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30/grams
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From 3-12 months of age, an infant should gain __/day.
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10-20grams/day
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By when should an infant have doubled their birth weight? Tripled their weight?
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6 months
12 months |
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What is preferred? Breast milk or formula?
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breast milk
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Infants that are breast fed for the first __ months have less incidence of CMP allergies.
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6 months
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Infants under 2 months of age typically eat how much, how often?
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2-3 ounces every 2-3 hours
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Infants 2-6 months of age typically eat how much, how often?
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4-5 ounces every 4-5 hours
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When can solid foods be introduced into an infant's diet?
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at 6 months when the child can sit up, hold head up, and continues to be hungry despite breast milk/formula
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What type of solid food is usually introduced first?
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rice or oatmeal (iron fortified) cereal, followed by fruits (one at a time) to observe for allergies.
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When does wean to a sippy cup usually begin?
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12-18 months of age
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Cows milk should not be introduced until __ months of age.
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12 months
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What are some dermatological signs of CMP allergy?
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atopic dermatitis
urticaria |
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What are some respiratory signs of CMP allergy?
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wheezing
coughing SOB |
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What are some HEENT signs of CMP allergy?
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rhinorrhea
angioedema |
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What are some GI signs of CMP allergy?
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vomiting
diarrhea hematochezia gassiness |
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What must be documented at every clinical visit in a child with CMP allergies?
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growth charts, to document wt/ht, any growth retardation?
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What does RAST stand for?
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radioallergosorbent test
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What other foods should be avoided in a child with CMP allergies?
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eggs
wheat peanuts |
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What are the caloric needs of an infant up to 12 months of age?
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120 cal/kg/day
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What are some common dx/dx in CMP allergy?
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gastroenteritis
gerd lactose intolerance poverty allergy to other foods |
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T/F
CMP allergy usually shows itself after 2 years of age? |
false, usually within the first few weeks or months of life and usually resolves by age 3-4
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T/F lactose intolerance does NOT usually resolve on its own?
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true-it can develop at any age, not usually in infants, but stays with em'.
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What test is performed to check for intersussception?
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barium enema
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What is the tx of significant CMP allergies?
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elimination diet
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Who should you consult for a significan CmP allergy?
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pediatric gastroenterologist
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If the child is breast fed, but having CMP allergies from Mom, what does Mom do?
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stay away from all cmp diet, and take Ca++ 1000mg QD supplementation
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