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Peritonitis and bowel obstruction Lecture Presentation :causes, symptoms and treatment NHPC NNC
Peritonitis and bowel obstruction Lecture Presentation : causes, symptoms and treatment NHPC NNC
Peritonitis and Bowel Obstruction: Lecture Notes (NHPC NNC)
Peritonitis
Peritonitis is the inflammation of the peritoneum, the membrane lining the abdominal cavity and covering the organs within it.
Causes
-
Infectious Causes
- Bacterial or fungal infection (e.g., ruptured appendix, perforated peptic ulcer).
- Post-surgical infections.
-
Non-Infectious Causes
- Chemical irritation (e.g., bile or gastric acid leakage).
- Autoimmune diseases.
Symptoms
- Severe abdominal pain and tenderness.
- Abdominal distension.
- Fever and chills.
- Nausea and vomiting.
- Loss of appetite.
- Rapid heart rate.
- Decreased or absent bowel sounds.
Diagnosis
- Physical Examination: Rebound tenderness, rigidity.
- Imaging: X-ray, ultrasound, CT scan (to detect free air or fluid).
- Laboratory Tests: Elevated white blood cell count, blood cultures.
- Paracentesis: Analysis of peritoneal fluid.
| perforation peritonitis gas under diaphragm |
Treatment
-
Medical Management
- Broad-spectrum antibiotics.
- Pain management.
- Intravenous fluids to prevent dehydration.
-
Surgical Management
- Source control (e.g., repair of perforations, abscess drainage).
- Laparotomy or laparoscopy.
-
Post-Treatment Care
- Monitor for signs of sepsis.
- Nutritional support.
| bowel obstruction |
Bowel Obstruction
Bowel obstruction refers to a blockage that prevents the normal passage of contents through the intestines.
Causes
-
Mechanical Obstruction
- Adhesions (post-surgery).
- Hernias.
- Tumors.
- Volvulus (twisting of the bowel).
- Intussusception (telescoping of bowel).
-
Non-Mechanical Obstruction (Ileus)
- Post-surgical paralysis of the intestines.
- Electrolyte imbalances.
- Medications (e.g., opioids).
Symptoms
- Cramping abdominal pain.
- Nausea and vomiting (may include feculent material).
- Abdominal distension.
- Inability to pass gas or stool.
- High-pitched bowel sounds (early stage) or absent bowel sounds (late stage).
Diagnosis
- Physical Examination: Abdominal tenderness, distension.
- Imaging: X-ray (air-fluid levels), CT scan (site of obstruction).
- Blood Tests: Check for electrolyte imbalances and dehydration.
| small bowel obstruction x ray |
Treatment
-
Medical Management
- NPO (nil per os, nothing by mouth).
- Nasogastric tube for decompression.
- Intravenous fluids to prevent dehydration.
- Correction of electrolyte imbalances.
-
Surgical Management
- Removal of the obstruction (e.g., resection, adhesiolysis).
- Colostomy or ileostomy if needed.
-
Post-Treatment Care
- Gradual reintroduction of oral intake.
- Monitor for recurrence.
Key Points
- Early diagnosis and treatment are critical for both conditions to prevent complications like sepsis or bowel perforation.
- Multidisciplinary care is often required, including surgical and medical interventions.
- Patient education and follow-up are vital for long-term recovery and prevention.
Peritonitis and bowel obstruction PPT
Micronutrients and macronutrients, diseases caused by nutrient defecit, daily requirement ppt 2081
Micronutrients and macronutrients, diseases caused by nutrient defecit, daily requirement, nutrient sources PPT
Introduction
Micronutrients and Macronutrients: An Overview
Macronutrients
Macronutrients are nutrients required by the body in large amounts to provide energy and support vital functions.
Types of Macronutrients
-
Carbohydrates
- Primary source of energy (4 kcal/g).
- Found in: bread, rice, pasta, fruits, and vegetables.
- Daily requirement: 45-65% of total caloric intake.
-
Proteins
- Essential for growth, repair, and maintenance of body tissues (4 kcal/g).
- Found in: meat, fish, eggs, beans, dairy products.
- Daily requirement: 0.8-1.2 g/kg of body weight.
-
Fats
- Source of long-term energy (9 kcal/g), aids in absorption of fat-soluble vitamins (A, D, E, K).
- Found in: oils, nuts, seeds, fatty fish, avocados.
- Daily requirement: 20-35% of total caloric intake.
-
Water
- Vital for hydration, temperature regulation, and bodily functions.
- Daily requirement: ~2-3 liters (varies by age, sex, activity level).
Micronutrients
Micronutrients are nutrients required in small amounts but are crucial for overall health and development.
Types of Micronutrients
-
Vitamins
- Fat-soluble vitamins: A, D, E, K.
- Water-soluble vitamins: B-complex (B1, B2, B3, B6, B12, folate, etc.) and Vitamin C.
- Functions: Support immunity, vision, bone health, and metabolism.
-
Minerals
- Major minerals: Calcium, phosphorus, potassium, sodium, magnesium.
- Trace minerals: Iron, zinc, iodine, selenium, copper.
- Functions: Support bone health, oxygen transport, enzyme function.
Diseases Caused by Nutrient Deficiencies
-
Macronutrient Deficiencies
- Protein-energy malnutrition (PEM): Kwashiorkor, Marasmus.
- Symptoms: Muscle wasting, stunted growth, lethargy.
-
Micronutrient Deficiencies
- Vitamin A: Night blindness, xerophthalmia.
- Vitamin D: Rickets in children, osteomalacia in adults.
- Vitamin C: Scurvy (bleeding gums, weakness).
- Iron: Anemia (fatigue, pale skin).
- Iodine: Goiter, hypothyroidism.
- Calcium: Osteoporosis, muscle cramps.
- Zinc: Delayed wound healing, growth retardation.
Daily Nutritional Requirements
- Carbohydrates: 225-325 g (for a 2000 kcal diet).
- Proteins: 50-60 g (varies based on activity level and age).
- Fats: 44-77 g (for a 2000 kcal diet).
- Vitamins and Minerals:
- Example: Vitamin C (65-90 mg), Calcium (1000 mg), Iron (8-18 mg).
Balanced Diet Tips
- Incorporate a variety of foods from all food groups.
- Include fresh fruits, vegetables, whole grains, lean proteins, and healthy fats.
- Limit processed foods, sugars, and saturated fats.
- Stay hydrated throughout the day.
- Monitor portion sizes to avoid overconsumption.
Key Points to Remember
- Macronutrients provide energy and structural components; micronutrients regulate body functions.
- Both are essential for maintaining health and preventing diseases.
- A balanced diet ensures the adequate intake of all nutrients.
- Deficiency diseases can be prevented by consuming nutrient-rich foods and, if necessary, supplements.
Micronutrients and macronutrients powerpoint presentation
Meningitis and encephalitis lecture and video 2025
Meningitis, encephalitis and stroke for medical students preparation slide:
Introduction and definition of meningitis:
Meningitis is the inflammation of the CSF and the meninges. If the
infection spreads into the brain it is termed meningoencephalitis.
Usually is caused by an infection, but chemical meningitis also may occur
in response to a nonbacterial irritants introduced into the subarachnoid
space.
Types of meningitis:
- Infectious meningitis can be broadly divided into:
- Acute pyogenic (usually bacterial),
- Aseptic (usually viral), and
-
Chronic (usually tuberculous, spirochetal, or cryptococcal)
subtypes.
Acute Pyogenic Meningitis (Bacterial Meningitis)
- In neonates:
-
Escherichia coli and the group B streptococci;
- Escherichia coli and the group B streptococci;
- In adolescents and in young adults:
-
Neisseria meningitidis
- Neisseria meningitidis
- In older individuals:
-
Streptococcus pneumoniae and Listeria monocytogenes.
- Streptococcus pneumoniae and Listeria monocytogenes.
How do people get Bacterial Meningitis?
Bacteria are spread through direct contact with secretions from the
nose or throat of an infected person.
People who qualify as close contacts of a person with meningitis caused
by N. meningitidis are:
- Family and household contacts
- Child or nursery school contacts
- Anyone exposed to patient’s oral secretions
Signs and Symptoms of meningitis in under 2 years age
- Fever
- Headache
- Stiff neck
- Inactivity
- Vomiting
- Poor feeding
- Seizures
- May be hard to detect in infants
Signs and Symptoms of meningitis in over 2 years age
- High fever
- Headache, Stiff neck
- Nausea and vomiting
- Sensitivity to light
- Confusion
- Sleepiness
- Petechiae that spreads rapidly
- Seizures
Diagnosis & Treatment of meningitis:
Signs of meningism
- Kernig’s Test
- Brudzinski’s Test
- Diagnosed via lumbar puncture (spinal tap).
- Check for bacterial growth in the spinal fluid.
- Imaging –CT and MRI.
Treatment of meningitis:
Antibiotics: administration based on bacteria found
Broad spectrum: (later narrowed down to specific antibiotic)
- Ampicillin
- Cephalosporins (3rd generation)
- Vancomycin/linezolid
- Meropenem
- Fluoroquinolones
- Bed rest
- Plenty of fluids
-
Some patients may need hospital admission and require IV
antibiotics, fluids, and supportive medications.
Meningitis and Encephalitis presentations nepali
Complications of meningitis:
- Advanced bacterial meningitis can lead to brain damage, coma, and death.
-
Survivors can suffer long-term hearing loss, mental retardation,
paralysis, and seizures.
Family planning bhaneko ke ho? NDHS data in family planning Entrance MBBS/MD/MS and PSC in Nepal CMA
Family planning bhaneko ke ho? NDHS data in family planning Entrance MBBS/MD/MS and PSC in Nepal CMA
Table of contents (toc)
Introduction
Ndhs 2022 pdf download free (national demographic and health survey)
NEPAL DEMOGRAPHIC AND HEALTH SURVEY (NDHS) 2022 KEY INDICATORS
Introduction: latest ndhs report of nepal
| ndhs 2022 report |
NDHS full form
Objectives NDHS survey 2022
SURVEY IMPLEMENTATION
SAMPLE DESIGN
QUESTIONNAIRES
Nepal demographic and health survey 2021
Woman’s questionnaire NDHS 2022
- Background characteristics (including age, education, and media exposure)
- Pregnancy history and child mortality
- Knowledge, use, and source of family planning methods
- Fertility preferences (including desire for more children, ideal number of children)
- Antenatal, delivery, and postnatal care
- Vaccinations and childhood illnesses
- Breastfeeding and infant feeding practices
- Women’s work and husbands’ background characteristics
- Knowledge, awareness, and behavior regarding HIV and other sexually transmitted infections (STIs)
- Fistula
- Mental health
- Domestic violence
- Knowledge, attitudes, and behavior related to other health issues (for example, cancer, smoking, tuberculosis, and COVID-19)
KEY findings of NDHS 2022 report
RESPONSE RATES
FERTILITY repot on NDHS 2022
TEENAGE FERTILITY ndhs 2022 nepal
Teenage pregnancy
Percentage of women age 15–19 who have ever been pregnant.Sample: Women age 15–19
FERTILITY PREFERENCES
Desire for another child
Women were asked whether they wanted more children and, if so, how longthey would prefer to wait before the birth of the next child. Women who aresterilized are assumed not to want any more children.Sample: Currently married women age 15–49
FAMILY PLANNING ndhs 2022 nepal
Contraceptive use
Contraceptive prevalence
Percentage of women who use any contraceptive method.Sample: Currently married women age 15–49Modern methods
Include male and female sterilization, injectables, intrauterine contraceptivedevice (IUCD), contraceptive pill, implants, male condoms, emergencycontraception, the standard days method, and lactational amenorrhea method.
| need for family planning NDHS 2022 |
Need and demand for family planning
EARLY CHILDHOOD MORTALITY ndhs 2022 nepal
Neonatal mortality: The probability of dying within the first month of life.
Postneonatal mortality: The probability of dying between the first month oflife and the first birthday (computed as the difference between infant andneonatal mortality).Infant mortality: The probability of dying between birth and the first birthday.
Child mortality: The probability of dying between the first and fifth birthday.Under-5 mortality: The probability of dying between birth and the fifthbirthday.
MATERNAL CARE
3.8.1 Antenatal care
Antenatal care (ANC) from a skilled provider
Pregnancy care received from skilled providers, such as doctors, nurses, andauxiliary nurse midwives.Sample: Women age 15–49 who had a live birth or stillbirth in the 2 yearspreceding the survey
Tetanus toxoid
Protection against neonatal tetanus
The number of tetanus toxoid injections needed to protect a baby fromneonatal tetanus depends on the mother’s vaccinations. A birth is protectedagainst neonatal tetanus if the mother has received any of the following:▪ Two tetanus toxoid injections during the pregnancy▪ Two or more injections, the last one within 3 years of the birth▪ Three or more injections, the last one within 5 years of the birth▪ Four or more injections, the last one within 10 years of the birth▪ Five or more injections at any time prior to the birthSample: Women age 15-49 with a live birth in the 2 years preceding thesurvey
Delivery care
Institutional deliveries
Deliveries that occur in a health facility.Sample: All live births and/or stillbirths in the 2 years preceding the surveySkilled assistance during delivery
Births delivered with the assistance of a doctor, nurse, or midwife.Sample: All live births and/or stillbirths in the 2 years preceding the survey
Postnatal care for the mother ndhs 2022 nepal
maternal mortality rate in nepal ndhs 2016
VACCINATION COVERAGE
Fully vaccinated—basic antigens ndhs 2022 nepal
CHILD NUTRITIONAL STATUS
nepal demographic and health survey 2021
INFANT AND YOUNG CHILD FEEDING
Early initiation of breastfeedingPercentage of children age 0–23 months who were put to the breast within1 hour of birthSample: Children age 0–23 monthsExclusive breastfeeding under 6 months
Percentage of children age 0–5 months who are fed exclusively withbreastmilk during the previous daySample: Youngest children age 0–5 months living with the mother
Minimum dietary diversity 6–23 monthsPercentage of children age 6–23 months who are fed a minimum of 5 out of8 defined food groups during the previous day. The 8 food groups are asfollows: breastmilk; grains, roots, and tubers; legumes and nuts; dairy products(milk yogurt, cheese); flesh foods (meat, fish, poultry, and organ meat); eggs;vitamin A-rich fruits and vegetables; and other fruits and vegetables.Sample: Youngest children age 6–23 months living with the mother
nepal demographic and health survey 2021
Key IYCF indicators are presented in Table 13.
▪ Fifty-five percent (55%) of children age 0–23 months engaged in early initiation of breastfeeding.
▪ Seventy-eight percent (78%) of children age 6–23 months met the minimum dietary diversity
requirement.
▪ Fifty-six percent (56%) of children under 6 months were exclusively breastfeed.
ANEMIA
3.13.1 Prevalence of anemia in children
Anemia is a condition that is marked by low levels of hemoglobin in the blood. Causes of anemia include
iron deficiency and other nutritional deficiencies, malaria, infections with hookworm or other helminths,
chronic infections, and genetic conditions such as sickle cell disease. Anemia is a serious concern for
children because it can impair cognitive development and is associated with long-term health and
economic consequences. Severe anemia leads to increased mortality (Chaparro and Suchdev 2019).
nepal demographic and health survey 2021
HIV
3.14.1 Knowledge of HIV prevention among young people
Knowledge about HIV prevention
Knowing that consistent use of condoms during sexual intercourse and having
just one uninfected faithful partner can reduce the chances of getting HIV,
knowing that a healthy-looking person can have HIV, and rejecting two major
misconceptions about HIV transmission: HIV can be transmitted by mosquito
bites and a person can become infected by sharing food with a person who
has HIV.
Sample: Women and men age 15–24
Knowledge of how HIV is transmitted is crucial to enabling people to avoid HIV infection. This is
especially true for young people, who are often at greater risk because they may have shorter relationships
with more partners or may engage in other risky behaviors.
▪ Sixty-five percent (65%) of young women and 88% of young men know that consistent use of
condoms can reduce the risk of getting HIV (Table 16).
▪ Sixty-nine percent (69%) of young women and 85% of young men know that having just one
uninfected partner can reduce the chance of getting HIV.
▪ Only 16% of young women and 27% of young men have a thorough knowledge of HIV prevention
methods.
Prior HIV testing
HIV testing programs diagnose people living with HIV so that they can be linked to care and access
antiretroviral therapy (ART). Knowledge of HIV status helps HIV negative individuals reduce risk and
remain negative.
▪ Overall, 10% of women and 13% of men age 15–49 have ever been tested for HIV (Table 17.1 and
Table 17.2, respectively). Almost all of those who were tested received the test results.
▪ Three percent (3%) of women and 2% of men age 15–49 were tested for HIV in the 12-month period
preceding the survey and received the results of the last test they took.
DISABILITY ndhs 2022 nepal
Functional domains
Seeing, hearing, communicating, remembering or concentrating, walking or
climbing steps, and washing all over or dressing.
Sample: de facto household population age 5 and above
The 2022 NDHS included The DHS Program’s Disability Module, a series of questions based on the
Washington Group on Disability Statistics (WG) Short Set of questions, which in turn are based on the
framework of the World Health Organization’s International Classification of Functioning, Disability, and
Health. The questions address six core functional domains and provide basic information on disability
comparable to that being collected worldwide via the WG disability tools.
Respondents to the Household Questionnaire provided information for all the household members and
visitors on disability status for each of the functional domains: whether they had no difficulty, some
difficulty, a lot of difficulty, or no ability at all in the specified functional domain. Table 18 shows the
results for the de facto household population age 5 and older.
▪ Overall, 71% of the de facto household population age 5 or older have no difficulty in any of the
functional domains.
▪ Among the de facto household population age 5 or older 23% have some difficulty in at least one
functional domain, 5% have a lot of difficulty, and 1% cannot do at least one domain.
▪ Six percent (6%) of the de facto household members age 5 or older have a lot of difficulty or cannot
function at all in at least one of the functional domains.
▪ Among the de facto household population age 5 and older, the most common disability reported is
difficulty seeing (15% ) followed by difficulty walking or climbing steps (12%).
nepal demographic and health survey 2021which is not correct name for NDHS 2022 report
|
Top 20 Signs and symptoms of Pregnancy in early and mid phase Explained
Top 20 Signs and symptoms of Pregnancy in early and mid phase Explained
| Pregnant or Not pregnant |
Introduction
Common Signs and Symptoms
Signs and symptoms — The most common signs and symptoms of early pregnancy are:
- Amenorrhea
- Nausea with or without vomiting
- Breast enlargement and tenderness
- Increased urinary frequency without dysuria
- Fatigue
Additional signs and symptoms
Additional signs and symptoms may include:
- Mild uterine cramping/discomfort without bleeding
- Abdominal bloating
- Constipation
- Heartburn
- Nasal congestion
- Shortness of breath
- Food cravings and aversions
- Mood changes
- Lightheadedness
- Spider angiomas
- Palmar erythema
- Increased skin pigmentation (face, linea alba, areola)
- Difficulty sleeping
- Low back pain
- Adnexal discomfort
In a study that prospectively collected data on the onset of pregnancy symptoms in 221 females attempting to conceive, 60 percent experienced some signs or symptoms of pregnancy as early as 5 to 6 weeks of gestation (ie, five to six weeks after the first day of their last menstrual period [LMP]), and 90 percent were symptomatic by 8 weeks.
Their symptoms tended to develop abruptly and occur daily. However, the symptoms were nonspecific: they also occurred in 9 percent of nonpregnant cycles.
Findings on physical examination
- The pregnant uterus is more globular than in the nonpregnant state and enlarged, increasing in size by approximately 1 cm per week after 4 weeks of gestation. The correlation between uterine size and gestational age is often described in terms of fruit (eg, 6 to 8 week size = small pear; 8 to 10 week size = orange; 10 to 12 week size = grapefruit). The size of uterus can be guest by vaginal examination with bi-manual palpation method.
- The uterus remains a pelvic organ until approximately 12 weeks of gestation when it becomes sufficiently large to palpate abdominally just above the symphysis pubis, unless the patient has obesity. At 16 weeks, the uterine fundus is palpable midway between the symphysis pubis and umbilicus.
- The uterus and vaginal portion of the cervix soften beginning at approximately 6 weeks of gestation. Softening of the isthmus (lower portion of uterus adjacent to the cervix) allows the body of the uterus to flex against the cervix.
- The mucous membranes of the vulva, vagina, and cervix become congested and may appear bluish (Chadwick sign) beginning at approximately 8 to 12 weeks of gestation.
- The breasts become fuller and may become tender. The areola darkens, and the veins under the breast skin become more visible.
- Fetal cardiac activity can usually be detected by a handheld Doppler device at 10 to 12 weeks of gestation and sometimes earlier if the patient is thin and the clinician is persistent (fetal heart size is <7 mm at 10 to 12 weeks.
UPT Urine pregnancy test: How do I know if i am pregnant?
UPT- Urine pregnancy test: Indication, Interpretatin, Normal Range
| UPT- Urine pregnancy test: Indication, Interpretatin, Normal Range |
Introduction
| signs of ppregnancy classification |
Indications for a UPT
- Missed Period: If you have a regular menstrual cycle and miss your period, this is often the first sign to consider testing for pregnancy.
- Early Pregnancy Symptoms: Symptoms such as nausea, breast tenderness, fatigue, and frequent urination can suggest pregnancy and warrant testing.
- Contraceptive Failure: If you experience a failure of birth control methods (e.g., condom breakage), a UPT can confirm or rule out pregnancy.
- Fertility Monitoring: Individuals or couples trying to conceive may use UPTs to check for pregnancy after unprotected intercourse.
Interpreting UPT Results
- Positive Result:
- Negative Result:
Normal Range
Summary of urine pregnancy test
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Contraceptive Failure: If you experience a failure of birth control methods (e.g., condom breakage), a UPT can confirm or rule out pregnancy.
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Place to go near kathmandu: Swayambhu and White gumba Kathmandu Nepal 2025
A day out with Swayambhu and White Gumba Kathmandu Nepal (places to go near kathmandu)
Swayammbhunath swayambhu pictures
| Swoyambhu stupa buddha statue |
| The gate |
| Kathmandu city from swoyambhu siphal |
| The sky |
| Sitting in front of monastry gate |
White gumba seto gumba, white monastry pictures
| Mahadev temple gate |
| A ride white gumba |
| Monastery gate |
Yuca Fries 5 health benefits according to scientists now!
Table of Contents
Yuca fries: How to make them 2023?
Introduction to yuka
Types of Yuka recipe
- Yuka fries
- Yuka boiled
- Yuka salad
- Cakes
- Pudding
Yuka fries recipe
Steps of making yuka fries recipe
Ingredients:
- One large yucca root (cassava)
- Vegetable oil, for frying
- Salt, to taste
- Optional: any preferred seasoning or spices (e.g., paprika, garlic powder, etc.)
Instructions:
- Peel the yucca: Start by cutting off the ends of the yucca root with a sharp knife. Then, use a vegetable peeler or a knife to remove the thick, waxy skin from the yucca. Make sure to remove all the brown outer layer to reveal the white flesh inside.
- Cut the yucca into fry shapes: Slice the yucca root in half lengthwise, and then cut each half into long, thin strips, just like you would cut regular potato fries. You can adjust the thickness according to your preference, but aim for relatively uniform sizes to ensure even cooking.
- Boil the yucca: Fill a large pot with water and bring it to a boil. Add the yucca fries to the boiling water and cook for about 5-7 minutes until they are partially cooked but still firm. This step helps to soften the yucca and speeds up the frying process.
- Drain and cool: Drain the partially cooked yucca fries in a colander and let them cool down for a few minutes. This will help remove excess moisture from the surface, making them crispier when fried.
- Preheat the oil: In a deep fryer or a large, heavy-bottomed pot, add enough vegetable oil to submerge the yucca fries completely. Preheat the oil to around 350°F (175°C). If you don’t have a thermometer, you can test the oil readiness by adding a small piece of yucca; it should sizzle immediately without burning.
Yuca fries french fries - Fry the yucca: Carefully add the yucca fries to the hot oil in batches to avoid overcrowding the fryer. Fry them for about 3-5 minutes or until they turn golden brown and crispy. Stir them occasionally during frying to ensure even cooking.
- Drain and season: Using a slotted spoon, remove the fried yucca fries from the oil and place them on a plate lined with paper towels to drain any excess oil. Immediately sprinkle them with salt and any other desired seasoning while they are still hot.
- Serve and enjoy: Yucca fries are best enjoyed immediately while they are still hot and crispy. Serve them as a delicious side dish or a snack, and optionally pair them with your favorite dipping sauce or salsa.
Nutritional values off yuca fries
- Total Calories: 300 calories
- Fat: 25%
- saturated fat 8%
- Cholesterl: 0%
- Sodium: 12 gm
- Total carbohydrate: 12%
- Dietary fiber: 6%
- Protein: 1.2gram
- Potassium: 240 mg
- Vitamins and minerals: Vitamin A, C and E, Iron, calcium and selenium available.
