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How to manage a SAM inpatient case with F75 intolerance

This question was posted the Prevention and treatment of severe acute malnutrition forum area and has 4 replies.

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Charity

Normal user

20 Jun 2019, 18:38

Hello everyone,

Is there an alternative to F75 if child can't tolerate the formula, patient 26 months has bilateral odema +++ ( swelling in the face,legs and feet)no fever but vomits/spits out the F75.Refuses to drink the formula.

How can this case be managed? 

Kindly assist.

Paul

Technical expert

21 Jun 2019, 06:03

Hi Charity,

when you say the child can’t tolerate the F75, I assume that this just means he refuses it as you describe. In that case insert a nasogastric tube and feed the appropriate amount of F75 for severe oedema cases according to the normal schedule. 

Paul

Ch

Charity

Normal user

21 Jun 2019, 07:01

Hi Paul,

Thank you for the reply but because it's a small facility we don't have nastoligic tubes is there no other option.

Paul

Technical expert

21 Jun 2019, 10:01

Hi Charity,

Can you please write to me at my email address?

paulbinns@gmx.com

Cheers

Paul

Spencer Rivadeneira Danies

Pediatra

Normal user

21 Jun 2019, 22:46

Hola Caridad, saludos Pablo.

Una opción válida y fácil es la administración de F75 a través de gotero, cuchara o jeringa. Espero sea de ayuda.

Automatic translation:

Hello Charity, greetings Paul,

One valid and easy option is administration of F75 by dropper, spoon or syringe. I hope this is helpful. 

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