GI Flashcards
Atresia
Absent or abnormal narrowing
Stenosis
Narrowing
Fistula
Abnormal connection between two body parts
Malposition
Not in the right spot
Hyperplasia/Hypertrophy
Overgrown
-itis
Inflammation
-cele
Swelling
-schisis
Cleft or split
Cleft Lip and Palate Definition
Incomplete fusion of the lip and/or palate in utero
Cleft Lip and Palate Assessment
-Severity?
-Unilateral or bilateral lips?
-Involves hard or soft palate or both?
Cleft Lip and Palate Treatment
-Correct at appropriate times d/t feeding/speech interference
-Close lip first (3-5m) by plastic surgery
-Close palate next (6-12m)
Cleft Lip and Palate Education/Care
-Feeding/nutrition: they can breastfeed, upright position, burp frequently, get good seal on nipple to let less air in, LAMB nipple, maybe G tube or syringe, have suction ready
-Promote bonding
-Respiratory assessment
-Interdisciplinary care: ENT
-Post OP: elbow restraints, manage pain, look at suture site, no nipple/paci/straw/spoon/fork for a bit, need IV fluids, clear liquid diet, no hard toys, no objects in mouth
Cleft Lip and Palate Complications
-otitis media
-respiration distress r/t aspiration
-infection
-dental
-speech delays
-self-esteem
Esophageal Atresia (EA) & Tracheoesophageal Fistula (TEF) Definition
-EA: blind pouch
-TEF: opening from trachea by fistula
Esophageal Atresia & Tracheoesophageal Fistula Assessment
-3 C’s -cyanosis, choking, coughing
-Excessive drooling and salivation
-Respiratory status
-Other congenital anomalies
-Food comes right back out of the nose or into trachea (w/ TEF)
-NG tubes can’t go down to stomach
Esophageal Atresia & Tracheoesophageal Fistula Treatment
-Medical emergency
-Surgical repair
-Bronchoscoopy
Esophageal Atresia & Tracheoesophageal Fistula Education/Care
-Respiratory status: have suction available,
-Nutrition: TPN/Lipids, G-tube, strict I/Os, daily weights
-Emotional support
-Introduce food back slowly after repair
Esophageal Atresia & Tracheoesophageal Fistula Complications
-GERD
-Aspiration
-Stricture formation
-Leak
-Tracheomalacia
Pyloric Stenosis Definition
-Thickening and tightening of the pyloric sphincter (at base of stomach)
-2-8 weeks after birth
Pyloric Stenosis Assessment
-Projectile vomiting
-Constant hunger
-Weight loss
-Olive shaped mass in RUQ
-Peristatic wave
-Dehydration
-Dx: ABD US
Pyloric Stenosis Treatment
-Medical emergency
-Surgical repair - pylorotomy
Pyloric Stenosis Education/Care
-Nutrition: pyloric protocol (small amt of Pedialyte until formula), strict I/Os, daily weights
-Emotional support
Pyloric Stenosis Complications
-Surgical site infection
-Dehydration
-Feeding intolerance
GERD Definiton
-Backflow of stomach contents to esophagus
GERD Assessment
-Regurgitation
-Hunger
-Irritability
-Monitor feeding patterns
-Dx: Upper GI, pH probe monitoring
GERD Treatment
-Feeding modification: small meals, thicken formula, slow-flow nipple, avoid spicy/fried foods
-Positioning: upright
-Meds: PPI, H2 receptor agonists
-Surgery or G-tube for severe cases
GERD Education/Care
-Suction ready
-Monitor respiratory status
-Strict I/Os, daily weights
-Feeding education
GERD Complications
-Aspiration
-Poor weight gain
-Sleep difficulties
Omphalocele & Gastroschisis Definition
-OC: through umbilical cord, covered w/ a membrane
-GS: no sac/membrane covering organs, usually right side
Omphalocele & Gastroschisis Assessment
-Location
-Presence of membrane
-Color of ABD contents, moistness
Omphalocele & Gastroschisis Treatment
-Surgical repair to correct defect
-GS: silo mesh device allows organs to slowly go back in body as child grows
Omphalocele & Gastroschisis Education/Care
-Protect protruding ABD organs
-Prevent complications
-Promote bonding
-Emotional support
-NPO and on TPN
Omphalocele & Gastroschisis Complications
-Hypothermia
-Infection
-Injury
Intussusception Definition
-Telescoping or invagination of bowel segment into itself
Intussusception Assessment
-Family Hx
-Red currant jelly stool
-Sudden severe pain
-Vomiting
-Periods of comfort then acute pain
-Palpable sausage shaped ABD mass
-Dx: US
Intussusception Treatment
-Medical emergent
-Barium enema or air enema to get bowel back out
-Surgery
Intussusception Education/Care
-Pain control
-NG tube to decompress ABD
-Hydration: on IV fluids
-Monitor for return of bowel function
Intussusception Complication
-Bowel obstruction
-Bowel necrosis
-Post-op infections
-Dehydration
Volvulus Definition
-Malrotation of intestine
Volvulus Assessment
-Bilious vomiting
-Firm ABD w/ distention
-Irritability
-Passage of bloody stools
Volvulus Treatment
-Medical emergency
-Surgical repair
-Maybe colostomy