skip to main content

Feeding in Heart Failure — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateCardiologyFeeding in Heart FailureRACP Paediatrics

A 2-month-old with a large VSD is in heart failure. He is started on diuretics and an ACE inhibitor. His mother asks about feeding. What nutritional advice should be given?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Increase caloric density of feeds to 100 kcal/100 mL and consider nasogastric supplementation if needed

Infants with heart failure have increased metabolic demands and often have feeding difficulties (tachypnoea, fatigue, poor suck). Caloric fortification of feeds (breast milk or formula to 100 kcal/100 mL) and nasogastric supplementation if oral intake is insufficient are key strategies to optimise growth before surgical repair.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Nutrition in Congenital Heart Disease