CA - FTT

Question 1

whats FTT?

Answer 1

Failure to Thrive.
inadequate growth in infancy & childhood

Question 2

causes of FTT? (3)

Answer 2

1. Internal - Underlying genetic condition that affects:
   - poor nutrient absorption & intake
   - metabolism
2. External:
   - caloric deficit
   - abuse -> stress
   - caregiver’s lack of knowledge -> poor feeding methods
3. Mixed: internal + external

Question 3

signs of FTT? (5)

Answer 3

1. dont want to eat -> poor muscle tone & activity + easily irritable + cant gain height & weight -> delays in dev milestones

Question 4

How to diagnose FTT? (4)

Answer 4

1. BMI & weight for age < 5th percentile
2. < 80th percentile for median W:H ratio
3. Weight deceleration crossing more than two major percentile lines on age and population
4. Head circumference decreased

Question 5

Treatment of FTT? (6)

Answer 5

• Slow refeeding process & provide smaller amounts of food at frequent intervals
• If unable to feed orally, insert NGT
• Monitor nutritional & fluid I/O + weigh daily
• Ensure child maintains a steady weight gain
• Keep a log of what their child eats each day along with their daily weight
• Contact HCP if child has difficulty eating, dw eat, vomit or lose weight
• Treat underlying cause