Brainscape's Knowledge GenomeTM

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


See full index

peds exam 2 > nutrition and elimination > Flashcards

nutrition and elimination Flashcards

1
Q

pediatric anatomy of GI

A

weaker esophageal sphincter
immature digestion
high risk infection via mouth
shorter esophagus
20 teeth - affects ability to break down food

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

absorption

A

slower in children - need more nutrients

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

organs in charge of absorption

A

large and small intestines

small intestines - bigger+longer/wider

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

liver

A

produces bile, digestion of fats

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

GER

A

regurgitation of gastric contents into esophagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

s/s of GER

A

spitting up
vomiting
heartburn
abdominal pain
dysphagia
recurrent pneumonia
weight loss
excessive crying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GERD

A

esophageal tissue damage due to low pH of gastric acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

s/s GERD

A

failure to gain weight
irritable
nausea
chest pain
tooth erosion
respiratory complications: bronchospasm
pneumonia
wheezing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

nursing interventions of GER

A

thicken feedings
elevate HOB
smaller more frequent feedings
burp frequently
histamine blockers and PPI - lowers amount of stomach acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nursing interventions of GERD

A

surgical intervention

gastric fundus wrapped around distal esophagus structure to create anti- reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

cleft lip and palate pre op

A

clean mouth and nose after feeding
keep chin tucked to inhibit swallowing
keep suction equipment available
promote family child bonding and attachment

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

cleft lip and palate post op

A

elbow restraints
positioning - never on abd.
weigh daily
pain management - acetaminophen
elevate HOB
reposition q2hrs
prevent crying and sucking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hirschsprung disease

A

lack of nerve cells in lower part of colon, blockage of stools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

s/s Hirschsprung disease

A

monitor for first stool
(ribbon-like foul smelling stool)
poor feedings
poor weight gain
constipation
abdominal distention

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

management of hirschsprung disease

A

X-ray

usually involves surgery procedure or temporary colostomy
NG suction
measure I/Os, IVFs
assess bowel function
ostomy care

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

appendicitis

A

inflammation of appendix in RLQ
emergent surgery
sudden symptoms

pregnancy test to rule out ectopic pregnancy

17
Q

s/s appendicitis

A

sudden symptoms
abdominal pain
rebound tenderness right side of belly button
rapid shallow breathing/ tachycardia
rigid abdomen, guarding
constipation

18
Q

pyloric stenosis

A

stomach is blocked and food doesnt empty into duodenum

19
Q

s/s pyloric stenosis

A

projectile nonbilious vomiting
dehydration
metabolic alkalosis
no evidence of pain
pt seems hungry - never gets full
hyperactive bowel sounds

20
Q

pyloric stenosis management

A

fixed surgically
transition feedings
daily weights
restore hydration
NPO
small frequent feedings (pedialyte w/in 4-6hrs)

21
Q

intussusception

A

intestinal obstruction

part of bowel is moving back into intestines

can cause severe edema and cut off blood supply- ischemia and tissue death in bowel

22
Q

management of intussusception

A

ultrasound

air enema - pneumoenema
surgery

23
Q

s/s intussusception

A

acute sudden abdominal pain
edema
bloody stools
dehydration
tachycardia/respiratory distress
cycles of sudden pain
red currant jellylike stool(no feces)
vomiting (billious)

24
Q

hypotonic dehydration

A

greater loss of sodium than water

24
Q

manifestations of dehydration

A

dry oral mucosa and skin
poor skin turgor
decreased urine output
sunken fontanelles

25
Q

hypertonic dehydration

A

greater loss of water than sodium

26
Q

isotonic dehydration

A

equal loss of water and sodium

27
Q

calculate % of dehydration

A

preillness wt * sick wt /healthy wt *100 = ___%

28
Q

severe dehydration clinical signs

A

increased pulses
deep and rapid RR
hyperirritable
intense thirst

29
Q

moderate dehydration clinical signs

A

slight increased pulse
slight tachypnea RR
dry mucosa
decreased urine

30
Q

oral rehydration

A

replaces fluid loss from vomiting an diarrhea in mild to moderate dehydration

pedialyte type fluids-
no jello, no caffeine, no broth

no BRAT diet- banana, rice, apple, tea/toast

31
Q

daily maintenance fluid requirements math

A

100mL * 1st 10kg wt
50mL * 2nd 10kg wt
20mL * remaining wt

peds exam 2 (3 decks)

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