SEVERE MALNUTRITION: MARASMUS AND KWASHIORKOR

VITAMINS AND MINERARLS: Dose

Duration

Vit. Bco

5 mls daily

3 months

Vit. A

< 6 months
50 000U
6-12 months 100 000U
> 12 months 200 000U

stat
stat
stat

Folic acid

1 tab. 5 mg daily

2 weeks

Potassium Chloride

3 mmol/kg/day in 3 or 4
divided doses
10 ml = 6.7 mmol
6 mmol/kg/day if K < 1.5

until oedema resolves

Zinc

2 mg/kg/day

2 weeks

Magnesium

0.25 ml/kg IMI in severe

Kwashiorkor

stat

Iron gluconate

3-5 mg/kg day

5 ml = 40 mg iron

start when oedema

resolved
3 months

Jan 2006
Northern Cape

JP Jooste