What is the treatment of Sam?

New evidence is emerging on the importance of managing SAM, including uncomplicated SAM, using a package of care that includes antibiotic treatment. The use of broad-spectrum antibiotics has been conditionally recommended for treatment of uncomplicated SAM in community-based treatment programs (WHO 2007).
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What is the treatment of severe acute malnutrition?

The updated WHO guidelines recommend that children with severe acute malnutrition who do not have health complications that require hospitalization, receive special, high-energy food and antibiotics to treat infection. This allows them to recover at home with their families.
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What are the causes of Sam?

Severe acute malnutrition (SAM) is caused by a significant imbalance between nutritional intake and individual needs. It is most often caused by both quantitative (number of kilocalories/day) and qualitative (vitamins and minerals, etc.) deficiencies.
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What are the symptoms of Sam?

On examination, look for:
  • shock: lethargic or unconscious; with cold hands, slow capillary refill (> 3 s), or weak (low volume), rapid pulse and low blood pressure.
  • signs of dehydration.
  • severe palmar pallor.
  • bilateral pitting oedema.
  • eye signs of vitamin A deficiency: – dry conjunctiva or cornea, Bitot spots. –
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What are the ten steps in management of malnutrition?

Routine inpatient treatment is summarised in '10 steps':
  1. Treat/ prevent hypoglycaemia. Treat hypoglycaemia with glucose immediately. ...
  2. Treat/prevent hypothermia. ...
  3. Treat/prevent dehydration. ...
  4. Correct electrolyte imbalance. ...
  5. Treat/prevent infection. ...
  6. Correct micronutrient deficiencies. ...
  7. Start cautious feeding. ...
  8. Achieve catch-up growth.
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SEVERE ACUTE MALNUTRITION | SAM |



What are the solutions to malnutrition?

The best way to prevent malnutrition is to eat a healthy, balanced diet. Try not to miss or skip meals and aim to eat three small meals a day and two to three snacks a day if your appetite is poor. Take drinks after your meal, not before or during as that can fill you up.
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What is Sam in ICDS?

• Severe Acute Malnutrition (SAM) is. defined by: ‒ Very low weight-for-height / length (Z- score below - 3 SD) ‒ By visible severe wasting.
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How long does it take to recover from malnutrition?

The recovery rate for oedematous malnutrition was 57.6% (95% CI 52.9% to 62.2%) whereas the recovery rate for non-oedematous malnutrition was 63.8% (95% CI 61.1% to 66.5%). The median time to recovery was 16 days (IQR=11–28).
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What are the management of the child Sam with dehydration?

Children with severe acute malnutrition who present with some dehydration or severe dehydration but who are not shocked should be rehydrated slowly, either orally or by nasogastric tube, using oral rehydration solution ORS (5–10 mL/kg/h up to a maximum of 12 h).
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Can a child recover from malnutrition?

Experts have long maintained that the damage children suffer if malnourished during gestation and in the first two years of life—commonly referred to as the 1,000-day window of opportunity—is irreversible and cannot be offset by interventions later in childhood.
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What is Sam heart condition?

Systolic anterior motion (SAM) is defined as displacement of the distal portion of the anterior leaflet of the mitral valve toward the left ventricular outflow tract obstruction.
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How do you cure wasting?

In most cases, children with wasting can be treated with ready-to-use therapeutic food (RUTF), allowing them to recover in their own homes and communities rather than in a health facility.
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What is the difference between Sam and mam?

Globally, approximately 33 million children under five years of age are affected by moderate acute malnutrition (MAM), defined as a weight-for-height z-score (WHZ) between -2 and -3, and at least 19 million children under five by severe acute malnutrition (SAM), defined as a WHZ of <-3.
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What is the nursing management of malnutrition?

The severity of malnourishment indicates whether patients should be treated in a hospital or at home. The primary treatment for patients who can eat on their own is to make dietary changes. Nurses educate patients about the nutritional content of food and how to make healthy choices.
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How is malnutrition treated in adults?

In most patients with malnutrition the intake of protein, carbohydrates, water, minerals and vitamins need to be gradually increased. Supplements of vitamins and minerals are often advised. Those with protein energy malnutrition may need to take protein bars or supplements for correction of the deficiency.
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Can you fully recover from malnutrition?

Results. The recovery rate was 51.9% and the median recovery time was 16 days (95%CI: 14.233–17.767). Controlling for other factors; having anemia at admission, no plumpy nut provision, failing to enter in to phase 2 on day 10 and a weight gain of more than 8 g/kg/day were significant predictors of recovery time.
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How can I gain weight quickly?

10 quick tips
  1. Avoid drinking water before meals. This can fill your stomach and make it harder to get in enough calories ( 35 ).
  2. Eat more often. ...
  3. Drink milk. ...
  4. Try weight gainer shakes. ...
  5. Use bigger plates. ...
  6. Add cream to your coffee. ...
  7. Take creatine. ...
  8. Get quality sleep.
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What happens if malnutrition is not treated?

Malnutrition can result in unplanned weight loss, a low body mass index (BMI) and vitamin and mineral deficiencies. This can leave you feeling tired, weak and affect your ability to recover from an illness.
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What is rehabilitation phase in malnutrition?

A gradual transition to the rehabilitation phase is recommended to avoid the risk of heart failure, which may occur if malnourished children suddenly consume large-volume feeds. In the rehabilitation phase, a vigorous approach to feeding is required to achieve high intakes and rapid weight gain of 10 g/kg/day.
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What are some effects of long term protein energy malnutrition?

Protein-energy malnutrition is associated with an increased risk of liver cirrhosis complications, including ascites, variceal bleeding, hepatic encephalopathy, and hepatorenal syndrome.
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What is the best way to avoid micronutrient deficiency?

Food-based strategies, which include food production, dietary diversification and food fortification, are the most sustainable approaches to increasing the micronutrient status of populations. These approaches not only prevent micronutrient deficiency problems but also contribute to general malnutrition prevention.
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How is child with Sam identified?

For children between the ages of 6 and 59 months, "Severe acute malnutrition (SAM) is defined as: (i) Weight/height or Weight/length < −3Z score, using the WHO Growth Charts; or (ii) Presence of visible severe wasting; or (iii) Presence of bipedal edema of nutritional origin; or (iv) mid-upper arm circumference (MUAC) ...
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What is Sam full?

The Full form of SAM is Severe Acute Malnutrition.
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How is Sam rate calculated?

The full SAM burden is calcuated as per the followng: population 6-59m x [prevalence + (prevalence x incidence)]; where the incidence is 1.6, the calculation becomes: population 6-59m x [prevalence + (prevalence x 1.6)] which can be simplified to population 6-59m x prevalence x 2.6.
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