exam 2: gi

Question 1

IV fluid replacement for child weighing between 1-10 kgs?

Answer 1

100 ml/kg

Question 2

IV fluid replacement formula for child weighing between 11-20 kgs?

Answer 2

1000mL + 50 mLs times(x) every kg over 10
1000+50(x)/24 x=how many kgs over 10

ex: child weighing 20 kgs
1000+50(10, b/c it's 10 kgs more than 10)
1000+500
1500
finally, divide by 24
=62.5 or 63

Question 3

IV fluid replacement formula for child weighing greater than 20 kgs?

Answer 3

1500ml+20 mLs times(x) every kg over 20
1500+20(x) x=how many kgs. over 20

finally, divide by 24

Question 4

most common cause of diarrhea in children under 5 yrs

Answer 4

rotavirus

Question 5

safety measures in acute gastreenteritis?

Answer 5

contact precautions (mask and gloves)

Question 6

what are some examples of bacterial agents that can cause acute gastroenteritis?

Answer 6

-salmonella
-shigella
-C Diff
E coli

Question 7

what are some examples of parasites that can cause acute gastroenteritis?

Answer 7

giardia

cryptosporidium

Question 8

mega colon: mechanical obstruction and not enough motility

Answer 8

Hirschbrubg’s disease

Question 9

diagnositc testing of hirschsbrung disease?

Answer 9

barium enema

Question 10

RLQ quadrant point indicates acute appendicitis? where is this called?

Answer 10

mcburney’s point

Question 11

symptoms of acute appendicitis?

Answer 11

• rigid abdomen
• mcburney’s point (RLQ pain)
• fever
• absent bowel sounds

Question 12

diagnostics with appendicitis?

Answer 12

CT scan

CBC

Question 13

two types of inflammatory bowel disease?

Answer 13

krohn’s and ulcerative colitis

Question 14

which type of IBD: entire GI tract, pain, weight loss, growth retardation, fistulas

Answer 14

krohn’s

Question 15

which type of IBD: color and rectum, rectal bleeding, weight loss,severe diarrhea

Answer 15

ulcerative colitis

Question 16

side effect of steroid use

Answer 16

moonface

Question 17

nutritional: IBD management, stay away from:

Answer 17

grapes, spicy food

Question 18

A condition in which the opening between the stomach and small intestine thickens.

Answer 18

pyloric stenosis

Question 19

S/S of pyloric stenosis

Answer 19

projectile vomiting, failure to thrive, dehydration

Question 20

A condition in which part of the intestine telescopes into itself.

Answer 20

intussusception

Question 21

S/S of intussusception

Answer 21

sudden, loud crying that comes and goes every 15 to 20 minutes, vomiting, and stool mixed with blood and mucus, palpable mass RUQ

Question 22

gluten diet: what cant they have

Answer 22

wheat or rye

Question 23

feeding to support cleft palate infant

Answer 23

breck feeder
EESR method
E-enlarge nipple
S-stimulate suck reflex (rub side of face)
S- swallow fluid approp.
R-rest when infant signals with expression

Question 24

avoid these with cleft palate:

Answer 24

oral therm, spoons, straws, pacifiers

Question 25

tracheoesophageal fistula is an

Answer 25

emergency!!!!!
S&S: excessive frothy saliva
diffic. with secretions
cyanosis
(coughing, shoking, cyanosis)