Nutrition Interventions for Children with Special Health Care Needs

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Chapter 5 - Medication-Nutrient Interactions Assessment Intervention Evaluation/Outcome ANTIDEPRESSANTS Examples: Tricyclic antidepressants (TCAs) - amitriptyline (Elavil); amoxapine (Asendin); clomipramine (Anafranil); desipramine (Norpramin); imipramine (Tofranil); nortriptyline (Aventyl, Pamelor); protriptyline (Vivactil); trimipramine (Surmontil); Decreased GI distress. Selective Serotonin Reuptake Inhibitors (SSRIs) -fluoxetine (Prozac); sertraline (Zoloft) Assess if patient on tricyclic Monitor for dry mouth, taste changes, GI distress antidepressants (TCAs) or selective serotonin receptor inhibitors (SSRIs) Take in morning without regard to meals Appropriate rate of growth and weight gain Decreased GI distress Monitor weight Assess if problem with gastric irritation Take medication with or immediately after food to lessen irritation (for TCAs) Adequate riboflavin intake Requirements for riboflavin may be increased/may interfere with the biochemical assessment of riboflavin’s effect or induce riboflavin depletion. Assess if patient on amitriptyline or imipramine Serum albumin is within normal limits ANTI-ANXIETY Examples: diazepam (Valium) Monitor for dry mouth, nausea, Increase free water as needed constipation, hypoalbuminemia (with usage over 4 weeks) Check serum albumin every 6 months 66 Nutrition Interventions for Children With Special Health Care Needs Problems with dry mouth, constipation are minimized Ensure protein needs are met; modify protein intake as needed ANTIBIOTICS Examples: cefazolin (Ancef, Kefzol); cefotaxime (Claforan); cefotetan (Cefotan); ceftizoxime (Cefizox); ceftriaxone (Rocephin); penicillin; vancomycin Rate of growth and weight gain is appropriate Assess for anorexia or GI distress Anorexia – Suggest small, frequent meals GI distress - If appropriate, suggest medication be taken with meals GI distress is minimized Decreased GI distress ANTI-INFLAMMATORY Examples: sulfasalazine (Asulfidine) Assess for GI distress Take with water after meals or with food Sufficient urine output Ensure output of 1500 cc/day Assess fluid intake Prevent folate deficiency Folate supplement (1 mg/day) recommended Assess folate intake Take folate separately from medication
Assessment Intervention Evaluation/Outcome Decreased GI distress ANTI-GASTROESPHAGEAL REFLUX DISEASE (GERD) Examples: ranitidine (Zantac) Assess for GI distress Take with meals and/or bedtime snack Bland diet may be recommended Limit caffeine ANTISPASMODICS Examples: oxybutynin (Ditropan), tizanidine (Zanaflex), baclofen (Lioresal), dantrolene1 † (Dantrium) Assess for GI distress Take consistently with or without food (food increases maximum Decreased GI distress concentration and decreases time to peak concentration). Section 2 - Problem-Based Nutrition Interventions *Spironolactone and triamtere are potassium-sparing diuretics. Avoid salt substitutes that are high in potassium. Do not supplement with potassium unless serum K low and only under close supervision. Nutrition Interventions for Children With Special Health Care Needs 67 †With dentrolene, monitor for GI bleeding and dysphagia.
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Nutrition Interventions for Childre
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Kay Kopp, OTR/L Occupational Therap
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Appendices Appendix A Sample Screen
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ii Nutrition Interventions for Chil
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Population “Children with special
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vi Nutrition Interventions for Chil
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Chapter 1 - Nutrition Screening and
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Chapter 2 - Anthropometricss needs,
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Page 54 and 55: Chapter 3 - Physical Activity for C
Page 68 and 69: Chapter 4 - Breastfeeding recommend
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Chapter 9 - Behavior Issues Related
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Chapter 10 - Enteral Feeding Other
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Chapter 10 - Enteral Feeding Table
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Chapter 10 - Enteral Feeding Table
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Chapter 10 - Enteral Feeding Refere
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Chapter 11 - Community Monitoring o
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Chapter 12 - Accommodating Special
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Chapter 13 - Nutrition Intervention
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Chapter 22 - Ketogenic Diet for Sei
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Appendix A Please list any other nu
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Appendix A Baby formula What kind o
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Appendix B Manufacturer Description
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Appendix C 282 Nutrition Interventi
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Appendix D 284 Nutrition Interventi
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Appendix E 292 Nutrition Interventi
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Appendix E Table 3: Parent-Specific
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Appendix F Percentiles of Upper Arm
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Appendix F 302 Nutrition Interventi
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Appendix G 304 Nutrition Interventi
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Appendix H 312 Nutrition Interventi
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Appendix I 320 Nutrition Interventi
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Appendix J 328 Nutrition Interventi
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Appendix K 336 Nutrition Interventi
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Appendix K 338 Nutrition Interventi
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Appendix L 340 Nutrition Interventi
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Appendix M 342 Nutrition Interventi
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Appendix M 344 Nutrition Interventi
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Appendix N Gastrostomy Tube Feeding
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Appendix N activities. When feeding
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Appendix N Feeding Sets/Extensions
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Appendix N Fluid and Electrolytes W
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Appendix N osmolality of full-stren
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Appendix N Modular Products Modular
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Appendix N his family, and the home
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Appendix N • The feeding tube may
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Appendix N equipment. The Special S
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Appendix N Table N-2: Common Compli
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Appendix N Complication Possible Ca
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Appendix N 368 Nutrition Interventi
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Appendix O Some conditions increase
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Appendix O Table O-3: Recommended P
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Appendix O 374 Nutrition Interventi
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Appendix P Diet Prescription for Me
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Appendix Q Goals Considerations for
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Appendix R Condition Description Nu
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Appendix R Condition Description Nu
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Appendix R References 1. Ekvall SW
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Appendix S Table S-1: Infant Formul
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Appendix S Comments Osmolality (mOs
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Appendix S Table S-2: Pediatric For
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Appendix S Table S-3: Modular Produ
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Appendix S Comments Energy (kcal) P
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Appendix S Contact Information Abbo
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Appendix T Powdered Formulas Accura
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Appendix T Table T-1: Liquid Concen
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Appendix T 402 Nutrition Interventi
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Appendix U Nutrition Strategies for
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Appendix U ADA Pocket Guide to Nutr
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Glossary Autism Spectrum Disorders
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Glossary Early intervention service
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Glossary Length (recumbent length)
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Glossary Stadiometer moveable headb
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Index specialist 98 target 108 Bink
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Index elemental formula 348 elimina
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Index I ICF. See International Clas
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Index risk indicators 4 screening 1
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Index suppositories 72, 77 Surmonti
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Nutrition Interventions for Children with Special Health Care Needs

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