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Old 09-07-2012
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Arrow Gyrus Daily Questions; Pediatrics #20

A recovering premature infant who weighs 950 g (2 lb, 1 oz) is fed breast milk to provide 120 cal/(kgd). Over ensuing weeks, the baby is most apt to develop


a. Hypernatremia
b. Hypocalcemia
c. Blood in the stool
d. Hyperphosphatemia
e. Vitamin D toxicity
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Old 09-07-2012
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Very low Birth weight babies have hypocalcemia

Ans B
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Old 09-08-2012
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yes B ........breast milk is deficient in vit D ............
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Old 09-08-2012
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Quote:
Originally Posted by cingulate.gyrus View Post
A recovering premature infant who weighs 950 g (2 lb, 1 oz) is fed breast milk to provide 120 cal/(kgd). Over ensuing weeks, the baby is most apt to develop


a. Hypernatremia
b. Hypocalcemia
c. Blood in the stool
d. Hyperphosphatemia
e. Vitamin D toxicity

B.) hypocalcemia
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Old 09-08-2012
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Hypocalcemia ; watch cor seizures!

Either from hypocalcemia\ hypomagnesemia or Germinal matrix hemorrhage
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Old 09-08-2012
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The answer is b.

It is usually impossible with any combination of parenteral and enteral nutrition to match what the infant would have accumulated in utero. The average, healthy, low-birth-weight infant of this size requires a daily intake of calcium of about 200 mg/kg. Breast milk has much less calcium (and phosphorus) than do commercial formulas. The breast milk can be supplemented with calcium, or it can be mixed with commercial formulas designed for the premature infant. Breast milk promotes gut maturation and prevents intestinal atrophy induced by lack of enteral feeding. Breast milk, however, is likely to have insufficient calcium and phosphorus for catch-up growth
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