GI

Question 1

Post- op GI surgery
What should you remember for post op

Answer 1

Give electrolytes (Mg, Calcium)
*Think about where all your nutrients come from GI so now post op they need to be replaced

Question 2

Celiac disease and their diet

Answer 2

no gluten: good foods: rice, corn, egg, etc (baked chicken and corn tortilla)

Question 3

Vomiting: how we treat in children, infants, toddlers?

Answer 3

requires no specific treatment unless complications occur: dehydration, electrolyte imbalances, aspiration

Question 4

Pyloric Stenosis symptoms in an infant

Answer 4

projectile vomiting and a moveable olive shaped mass in epigastrium

Question 5

GERD: treatment, post op gastrointestinal surgery and how we keep those children hydrated:

Answer 5

-elevate HOB for 1 hour after feed,
-have baby sit up (chair/swing),
-PPIs, SSRs; omeprazole,
-avoid foods that cause reflux (citrus, caffeine),
-weight control,
-small frequent meals,
-thickened feeds

Question 6

Diabetes Mellitus: treatment of type 1 DM versus type 2

Answer 6

1: insulin,
2: exercise, healthy foods, managing weight, diet, insulin

Question 7

Symptoms of hypoglycemia?

Answer 7

fast heartbeat,
shaking,
sweating and pallor,
nervousness or anxiety,
irritability or confusion,
dizziness,
hunger

Question 8

What are the labs of at pt in Diabetic Ketoacidosis

Answer 8

high glucose, ketones, LOW pH *KEY WORD ACIDOSIS <7.35

Question 9

What is the first sign of a child hat has DI

Answer 9

Bedwetting

Question 10

SIADH: signs and symptoms

Answer 10

anorexia,
irritable mood,
personality changes,
fluid retention,
elevated urine osmolality,
low sodium and potassium;

Question 11

Toddler = a picky eaters and they like milk?

Answer 11

milk is a poor source of iron causes overweight milk babies

Question 12

Things to consider about Wilms Tumor

Answer 12

do not palpate abdomen,
discovered bathing/dressing child