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    Pem Peds JTM

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    manogyna.8

    Copyright:

    © All Rights Reserved
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    Pem Peds JTM

    Uploaded by

    manogyna.8
    21 views3 pages

    Original Title

    Pem Peds Jtm

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
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    21 views3 pages

    Pem Peds JTM

    Uploaded by

    manogyna.8

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    MALNUTRITION

    PEM: PROTEIN ENERGY


    WHO Deinttion
    cal conditions
    arising fromm Concidenta
    Ronge Paholeg
    Calories
    Lack tn Vauig pmportio o poteins
    ad
    Occu morerequentiy in infants yowng children
    Comnly aosciatid Stth techon
    Malnutition PEM Undeanutrition+ OVuntritidyi

    (Classitiction)
    IAP claviition Gome clastiitHo
    Based en Based ou efor age
    Normal 80. 4 expected Norm 907. of expected
    Grade 31-801. oxpecked Grade Hfld 15-81 o esp
    61-10101 IHodenaë 6o-14
    1) Sevene
    1 51601. 60

    W 507.

    * CErifi *ckatcel fexhures)KMASHIDRkOR PRoTEIN


    MALNUTRITION

    Usuallyafechs -4 children
    Stast l a hands fate
    .pittig edema
    .Gener Ppearoncefat Sugar baby appeokante
    Edema: Mild to Oss
    i Musele tnt weak, hypotonte Can't Staud .
    K0asting ,

    SK changes Increased pigmentation flaky paa


    enamel 3pots
    Buttocks, perineum, Upper thigh
    V. Mutous membrane lestons :
    cheilosis,Anqular stomatits
    Vi. tHaiy Dyspigmentation, loss 04 ustre, pluckable
    pluckable
    Flaq Sian: Altunate bauds o hor
    ui. Mental changes: 17ritabili't, unhapptnexs
    No Sian hunqer

    yi. Neurologtcal chanaes: Apacth. tstles


    Anemia
    Glhanges:Anorexia, Abdominal distens ton
    3tools-ate
    Xi CVS chags: Cold, pale extremities

    Brady cosdia, hupotension


    xi Renal funchion GFR :

    Complicatiens
    Infections Sepsis
    Pneumonia
    Gastro enterttis

    *Management)Depends en Seveit

    Mild Hodeate :
    provisoy of odequee 1 5 0 Keal / kg lday
    proteiuc energ3 Setfeeds (4timas |day)
    3
    3lkg ldny (Ik)
    minenals and itamins.
    Adeuete
    Sevene :
    Mgt o SAM

    GRADING
    £dema pusT L
    GTacde . Pedal M
    + Ptess

    edema f chest all


    3.

    +Ascites

    PEM laettjcation

    80 experted
    8 o 7 expected
    welt for aqe
    Under oeit 6o1 expected
    Manasmus wtfor age edema
    <8o1.
    81.+ + edema
    Kuoashior Kor wt for age
    edema.
    Manasmus kuohiorkor o for < 6o7.
    GSevere (At) t
    Sucrose Dextose solutio.
    |thfoglycemia
    arm clothes , warmerS
    & Hupothevnia
    Teduud osmelathy th K 2upplene
    3. Dehydnation ORS

    4 tletmlytes Supplemental b, Mg50


    APpmpriale antibloics
    5. Tntections

    6. Miconutrients tomn Minere pplemers.

    1 Feedi 0 +regueut 3mal) feed T Breasfeediu

    8 Catch up gousth F-100 diet


    -

    cheerhul environment
    Sensony 9timulktioy
    follo uP Rehab home
    at home

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