exam 2: gi Flashcards
IV fluid replacement for child weighing between 1-10 kgs?
100 ml/kg
IV fluid replacement formula for child weighing between 11-20 kgs?
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
IV fluid replacement formula for child weighing greater than 20 kgs?
1500ml+20 mLs times(x) every kg over 20
1500+20(x) x=how many kgs. over 20
finally, divide by 24
most common cause of diarrhea in children under 5 yrs
rotavirus
safety measures in acute gastreenteritis?
contact precautions (mask and gloves)
what are some examples of bacterial agents that can cause acute gastroenteritis?
-salmonella
-shigella
-C Diff
E coli
what are some examples of parasites that can cause acute gastroenteritis?
giardia
cryptosporidium
mega colon: mechanical obstruction and not enough motility
Hirschbrubg’s disease
diagnositc testing of hirschsbrung disease?
barium enema
RLQ quadrant point indicates acute appendicitis? where is this called?
mcburney’s point
symptoms of acute appendicitis?
- rigid abdomen
- mcburney’s point (RLQ pain)
- fever
- absent bowel sounds
diagnostics with appendicitis?
CT scan
CBC
two types of inflammatory bowel disease?
krohn’s and ulcerative colitis
which type of IBD: entire GI tract, pain, weight loss, growth retardation, fistulas
krohn’s
which type of IBD: color and rectum, rectal bleeding, weight loss,severe diarrhea
ulcerative colitis
side effect of steroid use
moonface
nutritional: IBD management, stay away from:
grapes, spicy food
A condition in which the opening between the stomach and small intestine thickens.
pyloric stenosis
S/S of pyloric stenosis
projectile vomiting, failure to thrive, dehydration
A condition in which part of the intestine telescopes into itself.
intussusception
S/S of intussusception
sudden, loud crying that comes and goes every 15 to 20 minutes, vomiting, and stool mixed with blood and mucus, palpable mass RUQ
gluten diet: what cant they have
wheat or rye
feeding to support cleft palate infant
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
avoid these with cleft palate:
oral therm, spoons, straws, pacifiers
tracheoesophageal fistula is an
emergency!!!!! S&S: excessive frothy saliva diffic. with secretions cyanosis (coughing, shoking, cyanosis)
