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22 Cards in this Set
- Front
- Back
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Failure to thrive also known as
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Growth Failure
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Definition of FTT
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weight less than the 5th percentile, a fall in weight across 2 major percentile lines, no growth for 2 mths (< 6 mo), no growth for 3 mths (> 6 mo)
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What is cause of failure to thrive?
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always insufficient usuable nutrition
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How many calories do kids need per day to grow?
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100 kcal/kg of body weight per day
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Type I Failure to Thrive
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weight loss, height and HC preserved
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Causes of Type I Failure to Thrive
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malnutrition and malabsorption
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Type II Failure to Thrive
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weight and height loss, HC preserved
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Causes of Type II Failure to Thrive
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dwarfism, endocrine d/o
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Type III Failure to Thrive
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weight, height, and HC loss
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Cause of Type III Failure to Thrive
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prenatal injury/ infection
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HC
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head circumference
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Insufficient usable nutrition can be due to 3 reasons.
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inadequate calorie intake, inadequate calorie absorption, and increased calorie requirement
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2/3 of the time there is no ________ cause for failure to thrive
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inadequate calorie intake, inadequate calorie absorption, and increased calorie requirement
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In organic failure to thrive, there is some ______________.
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undelrying disease process such as TE fistula, atresia, etc (GI)
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What does hospitalizationtallow for in the tx of FTT?
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allows for control of intake and output
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If a hospitalized FTT child feeds fine and gains weight, what Is cause?
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poor feeding at home
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If a hospitalized FTT child feeds fine but does not gain weight, what is possible cause?
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GI, endocrine, metabolic disease
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In general, infants feed pooirly in the hospital due to what?
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difficulty swallowing, poor intake, and frequent vomiting/regurgitatin
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What is basal rate equal to?
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maintenance fluid rate
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Why is social history important?
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stressful home environment--> relationship to FTT sometimes
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Tx for FTT
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increase intake to 150% basal rate--may use formula supplements or boosters
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Where is the answer to FTT usually found?
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history (no set labs--run those that you suspect after history is taken)
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