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exam 6 > Gastrointestinal > Flashcards

Gastrointestinal Flashcards

1
Q

cleft palate is usually performed when?*

A

6 to 24 months

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2
Q

how should an infant be held that has cleft palate?

A

upright & direct formula to side and back of mouth

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3
Q

Esophageal atresia & tracheoesophageal fistula*

A

esophagus terminates before it reaches the stomach ending in bling pouch or fistula is present that forms an unnatural connection with trachea.

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4
Q

Esophageal atresia & tracheoesophageal fistula interventions*

A

NPO
supine 30 degree/upright
fluids/antibiotic
HUMITFIED O2**

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5
Q

Esophageal atresia & tracheoesophageal fistula
assessment*

A

frothy saliva
3 Cs

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6
Q

Gastroesophageal Reflux Disease

A

backflow of gastric content into the esophagus.

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7
Q

Gastroesophageal Reflux Disease Assessment

A

emesis
poor weight
hematemesis
heartburn
anima

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8
Q

Gastroesophageal Reflux Disease Intervention

A

supine position >1 HOB ^
small frequent feedings
thicken milk,cut nipple

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9
Q

Antacid

A

prilose

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10
Q

hypertrophic pyloric stenosis

A

narrowing between the stomach & duodenum

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11
Q

hypertrophic pyloric stenosis
symptoms

A

projectile vomiting
dehydration
metabolic alkalosis-vomit
failure to thrive

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12
Q

hypertrophic pyloric stenosis assessment

A

emesis non bilious
waves move left to right across epigastrium
olive shaped mass right of umbilicus

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13
Q

inguinal hernia

A

painless inguinal swelling that is reducible

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14
Q

incarcerated strangulated hernia

A

portion of bowel becomes caught in hernia sac. compromising blood supply
gangrene

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15
Q

meckels’s diverticulum

A

bulge in smaller part of intestine. present at birth & leftover of the umbl cord

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16
Q

meckels diverticulum assessment

A

may be asymptomatic
bloody mucus stool
anemic

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17
Q

Intussusception*

A

intestine folds into itself

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18
Q

intussusception assessment*

A

Fetal position/scream
BILE STAINED EMESIS
JELLY STOOL BLOOD/MUCUS
sausage mass in URQ

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19
Q

intussusception interventions*

A

monitor normal bowel sounds, passage of BARIUM*
normal stool

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20
Q

omphalocele

A

abd content come through umbilical w/ perineal sac

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21
Q

gastroschisis*

A

protrusion of intraabdominal content come through umbilical with NO SAC

22
Q

gastroschisis interventions*

A

cover w/ sterile saline soaked pads wrap abd loosely.

23
Q

volvulus

A

intestine twisting. compromise blood supply

24
Q

Hirschprung’s Disease *

A

congenital anomaly lacking ganglionitis cells in GI tract.

25
Q

Hirschsprung Disease assessment*

A

CHRONIC constipation
PELLET/RIBBON SMELLING
absence of meconium.

26
Q

Hirschsprung Disease Intervention*

A

measure w/ paper tape at the level of umbilicus or @ widest part of abd

27
Q

Scurvy*

A

rare in developed countries

28
Q

Kwashiorkor (most extreme form of PEM)

A

protein def. thin wasted extremities, prominent abd from ascites (edema)

29
Q

marasmus

A

calorie/protein def. skin very lose/wrinkled

30
Q

lacto ovo

A

exclude meat consume dairy products/fish.

31
Q

lacto

A

exclude meat eggs, drink milk

32
Q

hypersentivity food allergy

A

immune globulin E (IgE)
most grow out of allergies, but peanuts are persist

33
Q

Lactose Intolerance

A

Sub soy based for cows milk
encourage hard cheese, cottage, yogurt.
CALCIUM/VIT D DEFICIENCY

34
Q

Celiac disease*

A

intolerance to gluten
avoid BROW
Barley
Rye
Oat
Wheat

35
Q

celiac results in*

A

amino acid glutamine, toxic
malabsorption

36
Q

onset of celiac*

A

1-5 yrs & interval of 3-6mos
risk developing malignant lyphoma

37
Q

Gluten free food*

A

beef, pork, poultry, fish, eggs, milk, veggies, fruit rice, corn

38
Q

prohibited for gluten free diet

A

ice cream, malted milk, pudding grains, anything including wheat and flour

39
Q

celiac disease assessment*

A

insidious diarrhea, steatorrhea, anorexia, abd pain, distention, muscle weakness, vomiting, anemia, irritability

40
Q

celiac disease causes*

A

watery diarrhea
vomiting

41
Q

Giardiasis

A

caused by protozoa and is prevalent among children & crowed places (classroom daycare)

42
Q

giardiasis

A

4-6 week diarrhea don’t give antidiarrhea meds.
everyone gets treated.

43
Q

Appendicitis

A

pain in mcburneys point
increased WBC
low grade fever
position ride side lying.

44
Q

vomiting =

A

metabolic alkalosis

45
Q

s/s for dehydration

A

sucken fontanel
skin turgor
dry mucus
decreased tear production.
oliguria

46
Q

dehydration

A

metabolic acidosis

47
Q

Encopresis

A

constipation with fecal incontinence. hold it till they get home.
soiling of clothes
scratching anal
fecal odor

48
Q

chelation therapy

A

lead poising

49
Q

Antidote for acetaminophen*

A

N-ACETYCYSTERINE
toxic dose 150mg or higher dont use w/ charcoal

50
Q

acetylsalicylic acid (aspirin)

A

acute 300-500mg
chronic 100mg for days or more

51
Q

corrosives*

A

Liquid corrosives can cause more damage to the victim than other types of corrosives.

52
Q

cleft palate is usually performed when? *

A

6 to 24 months

exam 6 (3 decks)

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