CU7: Failure to thrive

Subdecks (2)

Cards (51)

  • Failure to thrive - "growth failure"
  • Sign of inadequate growth resulting from inability to obtain or use calories required for growth
    1. Organic FFT
    secondary to underlying medical illnesses
  • 2. Non-organic FFT (NFTT)
    psychosocial FFT, no known medical condition that causes poor growth, inadequate food or nutrition
  • 3. Mixed FTT
    organic and non organic causes coexist
  • Sudden Infant Death Syndrome (SIDS)
    Unexpected death of any infant. Death usually occurs during sleep. Cause of death unexplained by post mortem examination. Most common cause of death in children ages 1 months to 1 yr.
  • SIDS Etiology:
    Cause: Unknown
    > hypoxemia
    > apnea
    > immature nervous system
    > brain stem abnormality in neuroregulation of cardio-respiratory control
  • Risk factors:
    prone and side sleeping, soft bedding, bed sharing, inappropriate bed surfaces, exposure to tobacco smoke, and prematurity
  • Protective factors:
    breastfeeding, pacifier use, room sharing, and immunizations
  • Appearance when found:
    > blue, apneic, and lifeless
    > frothy blood tinged fluid in nose & mouth
    > blanket over head, huddled in a corner w/ dishevel bed
    > Mother: Horrified
  • Nursing Management:
    > Evaluate family coping and grieving patterns
    > Provide anticipatory guidance for typical feelings
    > Allow the parents to verbalize; listen and validate feelings
    > Refer family for counseling, if needed
    > Monitor infants at risk for apnea
    > Teach parents how to minimize the risks of SIDS