Feeding

Children with marasmus must limit their food intake to approximately llOkcal/kg/day for the first week. On the other hand, children with kwashiorkor must begin a slow feeding treatment starting as low as 50 kcal/kg/day and work their way up to approximately 110 kcal/kg/day after approximately 1 week. This can be a difficult task since these children are often apathetic and have severe anorexia. The initial diets of all severely undernourished children must be given in small, frequent (every 2h day and night), semiliquid doses. An example of an initial diet packet is 8 g skim milk powder, 6g vegetable oil, 5g sugar, and 100 ml water to make a high-energy (100kcal/ 100 ml) meal with additional minerals, including 60 mg iron, 100 mg folic acid, and 200 000 units of vitamin A and vitamins B (complex), C, and D.

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