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## Mometrix ### Dehydration: * **Causes**: * Diarrhea/vomiting * High protein formula * Poor fluid intake * Hyperosmotic diuresis * **Solutions**: * Treat as for diarrhea/vomiting (above) * Consult dietitian for change in formula * Increase fluids * Monitor blood gl...

## Mometrix ### Dehydration: * **Causes**: * Diarrhea/vomiting * High protein formula * Poor fluid intake * Hyperosmotic diuresis * **Solutions**: * Treat as for diarrhea/vomiting (above) * Consult dietitian for change in formula * Increase fluids * Monitor blood glucose levels ### Failure to Thrive (FTT) Failure to thrive (FTT) is a descriptive term for children who exhibit inadequate growth and development, usually measured by the child's being below the 5th percentile for weight (and sometimes height). Failure to thrive may relate to physical causes (such as renal disease or congenital heart disease), psychosocial factors (such as poverty, neglect), or idiopathic factors (unexplained). However, many issues may be involved other than just the parent-child relationship: * **Income**: Inability to buy sufficient or nutritional food * **Health Beliefs**: Child subjected to extreme or fad diets (Vegan, low fat) without ensuring proper nutrition * **Lack of Education**: Inadequate knowledge of proper nutritional requirements for children * **Stress**: Illness, single-family home, divorce, lack of employment, incarceration * **Psychosocial Issues**: Post-partum depression, other mental illnesses, or Munchausen syndrome by proxy * **Resistance to Feeding**: History of NG feedings, cleft lip/palate, or esophageal atresia * **Inadequate Supply of Milk**: Poor breastfeeding technique or poor milk supply ### Diagnostic Measures and Management Failure to thrive (FTT) is diagnosed first by identifying children at risk because of their evidence of growth failure The following are diagnostic measures: * Weight/height percentile (5th percentile for weight indicative of FTT) * Dietary intake history: Previous 24 hours and 3 to 5 day period * Evaluation of genetic factors: Family history, including heights & weights of parents. * Identification of food allergies and food restrictions * Evaluation of meal behaviors/practices * Lab tests as indicated to check for conditions such as anemia, parasites, and lead poisoning. * Observation of family interactions, situation.