SEVERE ACUTE MALNUTRITION | Pediatric | NEET PG | Dr. Kavita

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In this session, *Dr. Kavita* will be teaching about *SEVERE ACUTE MALNUTRITION * for *NEET PG*.

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Management
Treat prevent hypoglycemia
Treat prevent hypothermia
Treat prevent dehydration
Correct electrolyte imbalance
Treat prevent infections

Correct micronutrients deficiencies
Start cautious feeding
Achieve catchup growth
Provide sensory stimulation
Follow up

chahatgupta
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Dehydration
Do not use iv
Reduced osmolarity or s
5 10 m kg
Every 30m8nutes 2hrs

Till 10

chahatgupta
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Mam has herself ... hair changes .... Like can appreciate Flag sign as well

dr.vivekmbbs
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Severe dehydration
Rl with 5%
N/2 with 5%
15ml kg for first hour

chahatgupta
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Complications
Psc
N r s
Encephalitis

chahatgupta
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Its a very good presentation But sad how you keep using your language not everyone understands 😭😭😭

choolwemweemba
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Electrolytes
No diuretic
3 4 mmol kg day for 2 weeks
Severe
Correct 0.5 mmol / kg/ hr
Day 1 50 percent magnesium sulphate
Max 2ml 0.3 ml kg
0.4 mmol kg daily

chahatgupta
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Micronutrients
2 rda vita 2lakh 612 1lakh
0 5 50000 iu
Vicky 2.5 mg stat
Fa 1mg daily
Zn 2mg kg
Copper 0.2 0.3mg kg iron 3mg kg

chahatgupta
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Refeeding
Osm less 350mosm
Low viscosity ade

Catch
Increase 10ml
6 feeds

Encourage
Stimulation
Loving

chahatgupta
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Follow up
Appetite day4
Oedema day 4
Edema day 10
5g kg day
Sec
5 % wt loss
Appetite test
No wt gain

chahatgupta
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Severe hypothermia
Oxygen
Rehydrate
Antibiotics

chahatgupta
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Measurement
Dehydration
Shock
Consciousness
Pallor
Localise
Fever
Mouth ulcers
Skin
Eye

chahatgupta
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Hypothermia
Screen
Feed
Clothe
Cover
Heater
Kmc
Antibiotics
CHECK 2 hrly

chahatgupta
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Hypoglycemia 54mg
Assume Hypoglycemia
Asymptomatic
50ml of 10%dextrose
Feed 2 hourly
Start antibiotics
Symptomatic
5ml kg
Feed 2 hourly

chahatgupta
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Alert
No infection
Weight
Oedema
Immunization caretaker

chahatgupta