Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PRNU 232 > Lecture 7 > Flashcards

Lecture 7 Flashcards

1
Q

pediatric GI history

A
  • what is typical day of food like?
  • how often are bowel movements?
  • what does stool look like?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when to do stool test

A

loose stool >2 weeks
febrile
bloody stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

esophageal atresia and tracheoesophageal fistula

A
  • esophagus does not develop connected to stomach
  • esophagus connects to trachea, causes aspiration of milk
  • esophagus does not connect to stomach but trachea does, causes aspiration of stomach acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

clinical symptoms of esophageal atresia and tracheoesophageal fistula

A

frothy mucus in mouth and nose
abdominal distention
increased respiratory distress w feeding
3 Cs: coughing, choking, cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hypertrophic pyloric stenosis

A
  • constriction of pyloric sphincter due to hypertrophy of tissue
  • obstruction of gastric outlet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

manifestations of pyloric stenosis

A
  • projectile vomiting
  • visible peristalsis
  • FTT
  • dehydration
  • metabolic acidosis
  • olive lump in RUQ
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

risk factors for pyloric stenosis

A
  • smoking exposure
  • more common in twins
  • male sex
  • macrolide antibiotics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

omphalocele

A
  • bowel outside of the abdomen, covered with peritoneal sac
  • can be small loop of bowel or entire GI and liver
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gastroschisis

A
  • bowel herniates through abdominal wall to side of umbilical cord
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Gastroschisis risk factors

A
  • young maternal age
  • smoking tobacco or marijuana while pregnant
  • maternal illness and infection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

treating abdominal wall defects

A

cover with sterile moist dressing
thermal regulation
fluid balance
preop postop care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

umbilical hernia

A
  • belly button pokes out
  • usually resolves on its own during first year
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

inguinal hernia

A
  • contents of abdomen bulge through lower abdominal wall
  • require surgical repair
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

why is norovirus more common cause of diarrhea in children in US?

A

rotavirus vaccine is routine, rotavirus has become less common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

definition of diarrhea

A

3 or more loose stools in one day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how serious is diarrhea?

A

Second leading cause of death in children under 5yrs old worldwide

17
Q

chronic diarrhea

A

lasts > 14 days

18
Q

first line fluid replacement

A

oral rehydration fluid
NOT contraindicated for vomiting

19
Q

nursing care for diarrhea

A

replace stool losses 1:1 with ORS
frequent small amounts of ORS
continue using breast milk

20
Q

BRAT diet

A

contraindicated because it has little nutritional value or electrolytes

21
Q

patho of appendicitis

A

obstruction of the appendix lumen
colic and inflammation
appendix dilates and thickens

22
Q

clinical manifestations of appendicitis

A

referred pain
mcburney’s point
fever, N/V, diarrhea
sudden relief of pain = appendix burst

23
Q

malrotation

A
  • abnormal rotation of intestine around mesenteric artery
24
Q

volvulus

A

intestine is twisted around itself, compromises blood supply to intestines

25
Q

signature sign of malrotation and volvulus

A

bilious emesis - green or bright yellow

26
Q

how many infants have GER

A

50%, usually resolve spontaneously by 1 year

27
Q

how common is constipation?

A

30% of children

28
Q

when should first meconium be passed?

A

first 24 - 36 hours

29
Q

encopresis

A

inappropriate passage of feces, soiling

30
Q

hirschsprung disease

A
  • aganglionic megacolon
  • inadequate motility = obstruction
  • more common in males and down syndrome
31
Q

nursing education for megacolon

A
  • surgery education
  • stoma care education
  • pain management
  • s/sx of infection
32
Q

celiac disease

A
  • steatorrhea
  • malnutrition, FTT
  • abdominal distention
  • vitamin deficiencies
  • fatigue
33
Q

pathophysiology of celiac disease

A

villi atrophy after gluten ingestion, become flattened

34
Q

celiac diagnosis

A

TTG and IgA
biopsy of small intestine if labs positive

PRNU 232 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions