Abd Wall Defects, Lip And Palate Cleft

Question 1

What are the causes of cleft and lip palate?

Answer 1

Moms exposure to alcohol
Mom is taking anticonvulsant or steroids
Decreased of folic acid during pregnancy

Question 2

What are the main problem of Cleft lip and palate?

Answer 2

Lip- inability to suck and seal but no trouble with breastfeeding
Palate- inability to suck harder to feed

Question 3

Whar are post op carebof Cleft lip and palate?

Answer 3

No objects in mouth
Elbow immobilizers
Resume feeding with tube
Pain control
Upright positioning
Decreased pressure on suture lines

Question 4

What are the dufferences between Omphalocele and Gastroschisis?

Answer 4

Omphalocele - abd contents herniated through the umbilical cord covered by a translucent two layer m3mbrane sac
Gastroschisis - abd contents herniated outside of abd wall no covering membrance

Question 5

What is the treatment of Omphalocele?

Answer 5

Paint and wait
Antibiotic cream high in zinc to increase skin production, wrap and wait for abdbskin to close around defect. If large takes 6 months to close

Question 6

What is the Pre Op care of Omphalocele?

Answer 6

Maintain thermoregulation
Protect defects from drying cover it with warm sterikebsaline soaked dressing. Top dressing with sterile plastic wrap
NPO/IVF
Antibiotics
NgT

Question 7

What is the Post Op Care of Omphalocele?

Answer 7

Routinebpost op care
Pain control
NGT
IVF
monitor return of bowel function

Question 8

What is the PreOp care of Gastroschisis?

Answer 8

Maintain thermuregulation (higher risk)
NPO,IVF
ANTIBIOTICS
NGT
CLOSE observation of exposed bowel
PROSTHETIC SILO BAG

Question 9

What is the PostOp care of Gastroschisis?

Answer 9

Routine post-op care
Pain control
NGT, IVF
Monitor return of bowel function
Lower extremity pulses (important)