A child is suffering from severe PEM. Calories to be given per kg of body weight to regain weight -

Ans. is 'a' 200 Kcal (Ref. API Medicine, 6/e, p. 1145, Ghai 6/e, p 110).Energy requirements for - Severe protein energy malnutrition - 200 Kcal/kg/day. Moderate protein energy malnutrition- 150 Kcal/kg/day.About 8-10% of total calories should be obtained from proteins of higher biological value.Also know what O.P. Ghai says (may become a future question)"For optimum catch tip growth of severely malnourished children, therapeutic diet should contain fluids (150mL/kg/day), energy (175-200 Kcal/kg/day) and protein (4-5g/kg/day). Energy, rather than protein is the principal determinant of catch up growth rate."