The body undergoes distinct physiological changes depending on the nature of the nutrient deficit.
"Flaky paint" dermatosis or hyperpigmentation.
Subcutaneous fat stores and skeletal muscles are catabolized to preserve visceral organ function. Cortisol levels rise, while insulin production decreases. Clinical Features:
What is PEM? Content:
Reduced serum albumin lowers oncotic pressure, causing fluid to leak into the interstitial spaces, leading to .
Healthcare professionals use several methods to diagnose PEM:
Give routine broad-spectrum antibiotics (e.g., Ampicillin and Gentamicin) to all admitted children with SAM, even if signs of infection are absent. 6. Correct Micronutrient Deficiencies Protein Energy Malnutrition Ppt
[ Stabilization Phase: Days 1-7 ] [ Rehabilitation Phase: Weeks 2-6 ] ------------------------------------------- --------------------------------------- 1. Treat Hypoglycemia 2. Treat Hypothermia 3. Treat Dehydration 4. Correct Electrolyte Imbalance 7. Catch-up Growth Feeding (F-100) 5. Treat Infection 8. Sensory Stimulation & Play 6. Correct Micronutrient Deficiencies 9. Prepare for Discharge / Follow-up \ / \---> 10. Continuous Monitoring -/ The 10 Steps Explained 1. Treat/Prevent Hypoglycemia
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Management of severe PEM is a staged process, especially in resource-limited settings. Cortisol levels rise, while insulin production decreases
Prevention is key to reducing the burden of PEM. Some effective prevention strategies include:
Edema (swelling) is the hallmark, particularly in the legs and abdomen, caused by low blood protein levels (hypoalbuminemia).
“You taught us how to keep our children alive and growing,” Asha said. “We taught our children to look after one another.” particularly in the legs and abdomen
Severe, chronic deficiency of total calories (starvation).