Lecture 8 Disturbances in the transfer of nutrients Flashcards
A complication of poor nutrition in any age group is _
Skin breakdown.
Which diseases might require the use of TPN and lipids?
Biliary atresia, diaphragmatic hernia, short gut syndrome.
Organs involved in biliary atresia
The gallbladder and liver.
Medications used to treat biliary atresia
- Vitamins A, D, E, K.
- Phenobarbital - side effect of promoting bile flow.
- Ursodiol.
Kasai procedure
Surgical treatment performed on infants with biliary atresia to allow for bile drainage.
Possible sequelae of congenital diaphragmatic hernia
- NEC (necrotizing enterocolitis).
- SBS (short bowel syndrome).
- Need for colostomy.
Respiratory distress syndrome is a comorbidity associated with _
Congenital diaphragmatic hernia.
Feedings for an infant with congenital diaphragmatic hernia will be delivered _
Intravenously (TPN).
For a child with an umbilical hernia, it is important to assess and document whether it is _
“Easily reducible.”
Hirschsprung’s disease - diagnosis
- No meconium over 24 hours after birth.
2. Barium study of lower GI tract.
Regarding cleft lip/palate, why is it important to have children chew, suck, and swallow?
To promote the development of muscles which are especially important for later development of speech.
A priority after cleft lip/palate repair is _
Pain management, to promote oral nutrition and healing.
Why is otitis media a common comorbidity with cleft lip/palate?
The Eustachian tube does not function properly, causing inefficient drainage of the middle ear, providing a medium for bacterial growth.
After surgical repair of a tracheoesophageal fistula or esophageal atresia, a priority nursing intervention is the use of _
Pre-measured suction catheters for respiratory suctioning.
“Currant jelly” stools (stool mixed with blood and mucus) are associated with _
Intussusception (folding of one intestinal section into another like a collapsible telescope).
The primary assessment for distinguishing between organic and inorganic failure to thrive is _
Organic will involve an underlying pathophysiological condition; inorganic will frequently involve some sort of economic barrier.
Before each enteral feeding, the nurse should check residual. When should the nurse hold a feeding and call the physician?
When the residual is 1/3 of the previous feeding.
TPN that has a dextrose content greater than _ must go through a central line.
12.5%.
Triad of manifestations of tracheoesophageal fistula or esophageal atresia
Coughing, choking, and cyanosis.
