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12 Cards in this Set

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  • Back

According to a recent study in "Pediatrics" (Vol 136, No 4, pp 625-634), what dose of Vitamin D3 given to the mothers daily will safely supply their breast milk with ALL the vitamin D their infants will need, assuming the babies get vitamin D no other way?

6400 IU/day

What is the dose of vitamin D recommended by the AAP for every exclusively breast-fed infant?

400 IU/day

Name 6 of 9 conditions that cause REDUCED alkaline phosphate levels on the CMP.



Which 3 families of disorders might these causes be pigeonholed under?

VITAMIN D/CALCIUM PROBLEMS


1. Excessive vitamin D intake


2. Low phosphorus levels


3. Hypoparathyroidism



POOR NOURISHMENT


4. Malnutrition


5. Celiac disease


6. Scurvy (low vitamin C)


7. Vitamin B6 deficiency


8. Zinc deficiency



METABOLIC DISORDERS


9. Wilson disease

Assuming there are no signs of rickets, what is the starting dose of vitamin D in adolescents and children if the 25-OH vitamin D level is 20-30 ng/mL?

400-800 IU per day PO


(Source: Nationwide Children's Hospital)

Assuming no clinical signs of rickets, what is the starting dose of vitamin D3 in adolescents and children whose 25-OH vitamin D level measures above 10 ng/mL but less than 20 ng/mL?

1000 IU orally per day for everyone


(Source: Nationwide Children's Hospital)

Assuming no clinical signs of rickets, what is the starting dose of Vitamin D3 for children having 25-OH vitamin D levels below 10 ng/mL, based on age?

Prepubertal: 2000 IU orally per day


Adolescent: 4000 IU orally per day


(Source: Nationwide Children's Hospital)

Name 4 groups of children who might need double the initial dose of vitamin D3 to treat their vitamin D deficiency/insufficiency?

1. Patients with malabsorption


2. Chronic glucocorticoid use


3. Hyperpigmented skin


4. Obesity

What is the dose of vitamin D3 for infants under one month of age who DO have rickets?

1000 IU by mouth daily


(Source: Nationwide Children's Hospital)

What is the dose of vitamin V3 for babies with rickets ages 1 to 6 mos? At least how long should they take it?

3000 IU by mouth daily for 8 weeks


(Source: Nationwide Children's Hospital)

Name the dose of vitamin D3 that should be given to kids aged 6 months to 12 years with rickets and for how long.

5000 IU daily by mouth for 8 weeks


(Source: Nationwide Children's Hospital)

Name the daily dose of vitamin D3 needed to treat rickets in children 12 years and older. How long should it be given?

9000 IU by mouth daily for 8 weeks

Name 5 important symptoms and signs of rickets/osteomalacia.

1. Progressive bowing deformity of legs


2. Waddling gait


3. Abnormal knock knee deformity (intermalleolar distance less than 5 cm.


4. Swelling of wrists and costochondral junctions


5. Prolonged bone pain (more than 3 mos.)