LACK OF CALORIES

                                                                   BASIC CONCEPTS 

1.      Understanding

CTF (Calories Protein Deficiency) is basically due defesiensi protein and energy deficiency, with the composition of the dishes were not balanced.

2.      Etiology

1. Breastfeeding failure, because the mother died, disposal / competition breastfeeding a child or an actual failure
2. Hunger, because treatment occurs because prolonged periods of fasting, in children suffering from diarrhea.
3. Failure to provide additional food, can occur in children who are breastfed are prolonged.

3.      Patofisiologi

1. Always there

1)      Failure of growth, seen a lower weight than when edema appeared

2)      Oedema lower limb swelling, and leg edema, often in the hands, hips down, sometimes face.

3)      The muscles shrink but stored fat in the skin, the children use his muscles to provide protein.

4)      Misery early symptoms are difficult to measure with children become fussy followed by reduced attention. 

2. Usually there

1)      Changes Hair:      The color is light, reddish-brown, nearly white, and so on, thin extension of smooth, easy-off when retracted.

2)      Skin Color:                It is easier, the whole body is often on the face or skin color dibandikan healthy children.

3)      This watery stools may be due to impaired absorption of food, especially sugar.

Severe anemia that is not normally possible worm infection or malaria.

4.      Manifestations Clinical

1. Children are very skinny but bones and skin
2. Oedema
3. Edema
4. Children are hungry and often show edema, especially in the legs. 

5.      Management

1. Food

Skin Milk (SSB) shall be given to the mother once or 2 times a week if local circumstances permit.

For example: Five teaspoons Bb SSB per day.

2. Infection

When malaria appears to give 3 days of treatment with oral chloroquine (75 mg or 1/2 tables a day) for 3 consecutive days.

NURSING CARE 

A.     The identity of the participants include: Name, Age, Education, Occupation, Address, Status of Religion.

B.      Health History

1. Disease History Now

-          Weak

-          Anorexia

-          Ansitas nefrotis

-          Oedema

2. History And Disease

-          Kwashiorkor

3. Habit Patterns

1.      Eating and drinking

Patients experienced anorexia

2.      activity pattern

Unable to perform because patients have protein calories.

3.      Patterns break

Patients prefer to spend time in bed

4      Pola eliminasi

Patients have proteinuria (protein in the urine deficiency)

5.      Personal Hygiene

Poorly

6.      history of psychology

Patients experience weakness and fear of strangers

7.      history of social

8.      according to their respective beliefs 

C.      Physical Examination

1.      KU                  :     weak

2.      Vital Sigh         :      TD decreased

3.      Nadi                 :      fast

4.      Breathing       :      fast

5.      Temperature                 :      -

D.     Examination Support

Urine examination

DATA ANALYSIS 

No.	Data		Etiology	Problem
1. 2. 3.	DS : DO : DS : DO : DS : DO :	Weakness, anorexia Intake of less Sullit breathe Rapid breathing Dark colored urine, ketal and no pain Headache, nausea feet getting wet	Inadequate intake Udim speed lungs Lack prote-ins, renal dysfunction Penuraran ability of the kidneys	Changes in nutrition less than body requirements Ineffective breathing pattern Activity intolerance Excess fluid volume.

1.      Changes in nutrition less than body requirements

a.       purpose

Nutrition body remains

b.      Intolerance

-          Patients take an active role in increasing the scale of BB

-          Consuming diit high in calories, protein, and others.

-          Monitor the patient every time BB

c.       Rationalization

-          active participation of the patient in the patient's intake of protein provides control over life.

-          Consuming smaller foods such as beans, vegetables just once.

2.      Ineffective breathing pattern related to fatigue

1. Destination

Breathing back to normal

2. Intervention

-          Teach the patient breathing techniques

-          Adjust the position of the patient

3. Rationalization

-          Patients can control breathing during inspiration and expiration.

-          Will make the patient comfortable and relaxed

3.      Activity intolerance related to protein-calorie deficiency

1. Destination

Protein levels remained normal with no output to the increased activity

2. Intervention

-          Use high protein diit

-          Monitor body excessive calorie deficit.

3. Rationalization

-          To observe the excessive loss of body protein.

          

REFERENCES

1.      DD Jelliffe, Child Health in the Tropics, Fourth Edition, 1994

2.      FJ., Bennett MB, MB., ch, B., DP.H., Social Professions in Medicine .

3.      C. Pearlce Evelyn, Difisiologi Anatomy for Paramedics, PT. Scholastic, Jakarta, 1984

4.   MOH, RI., Directorate of Health, Private Lodging, DG Yanmedis, Usage Manual Breast-Milk Substitutes, Jakarta, 1988

5.      FKUI Staff Pengajar Mika, Mika Kuliah Combined, Walid I, II, III, FKU, Jakarta, 1985,