Elimination

Question 1

Isotonic Dehydration

Answer 1

water vs. sodium proportional loss
V D
extracellular loss

Question 2

Hypotonic dehydration:

Answer 2

greater sodium than water loss
burns, renal disease, severe V, D
extra-> intra

Question 3

Hypertonic Dehydration:

Answer 3

greater water loss than sodium
diabetes, high electrolyte feedings
intra->extra

Question 4

When is oral rehydration used?

Answer 4

mild to moderate, NOT severe
Pedialyte not clear fluids, small vol. 5ml Q 5-10 min

Question 5

Gastroenteritis (diarrhea) nursing assessment:

Answer 5

onset, frequency, consistency, color, amount, abdominal distention, cramping, BUN, creatinine, glucose

Question 6

Nursing priority for Gastroenteritis:

Answer 6

correct fluid vol. deficit
vomiting is NOT a contraindication for ORT, handwashing, Accurate weight and I/O, protect skin, Rotarix

Question 7

When should meconium be passed?

Answer 7

with in 24-36 hours of life
If not- Hirschsprung disease

Question 8

Hirschsprung Disease:

Answer 8

obstruction inadequate motility due to lack of ganglion cells in large intestine

Question 9

What can Hirschsprung disease cause?

Answer 9

decreased blood flow, ischemia

Question 10

HD assessment:

Answer 10

Newborn: never pass meconium w/in 48 hrs., refusal to feed, abd. distension
Infant: FTT, V, constipated, abdo. distention
Child: RIBBON LIKE FOUL STOOL, palpable mass

Question 11

Diagnostic for HD:

Answer 11

barium enema, X-ray, rectal biopsy

Question 12

Hypertrophic Pyloric Stenosis:

Answer 12

elongation and thickening of pylorus
olive like lump, projectile vomiting 30-60min after feed, dehydration, met. alk.,

Question 13

Intussusception

Answer 13

telescoping slipping, edema, strangulation, tissue death,

Question 14

What causes red jelly-like stools?

Answer 14

Intussusception