NCLEX- GI Flashcards
hirshsprung’s dz- clinical manifestations
result of absence of ganglion cells in rectum and other areas of affected intestine
clinical manifestations:
-chronic constipation beginning in 1st mo of life–> pellet-like/ribbon-like foul-smelling stool
-delayed passage or absence of meconium stool in neonatal period
-abdominal pain
-failure to thrive
after surgical repair of cleft-lip- positioning
-supine or lateral side avoiding side of surgery –> prevents airway obstructions by secretions, blood, or tongue, aspiration
3 C’s of tracheoesophageal fistula
coughing and choking w feeding
unexpected cyanosis
gastroesophageal reflex- reducing episodes of emesis
feedings thickened w rice cereal
gastroesophageal reflex- tx nurse management
small, frequent feedings
frequent burpings
vomiting vs diarrhea- abg’s
vomiting–> loss of acid (stomach)–> metabolic alkalosis
diarrhea–> loss of bicarbonate –> metabolic acidosis
intussusception
invagination of a section of intestines into distal bowel
currant jelly stool w red blood and mucus
sausage-shaped mass palpable in mid-abdomen
vomiting
imperforate anus
congenital (present from birth) defect in which the opening to the anus is missing or blocked.
failure to pass meconium stool in the 1st 24hr after birth
rectal thermometer or tube may be necessary to determine patency
pyloric stenosis- clinical manifestations
olive-shaped mass in RUQ
little to no stool
projectile vomiting
decreased urine output
hunger and crying
constipation
signs of dehydration
celiac dz
Gluten enteropathy aka celiac sprue
intolerance to gluten- wheat, barley, rye, oats need to be eliminated
add more corn, rice, millet
vitamin supplements may be needed
dietary restrictions likely to be lifelong
hepatitis - jaundice
jaundice is expected. No need to notify Dr
Child will be allowed to return to school 1 week after onset of jaundice
