Pediatric Gastrointestinal Flashcards
____ ____ a congenital abnormality - there is a split or gap in the hard palate.
cleft palate
with cleft patients you need to monitor ___ ___ and ____ patency.
monitor respiratory status and airway patency
Cleft lip is surgically corrected at __ to ___months of age.
3-6 (b/c of speech)
Cleft palate is surgically corrected at __ to ___ months of age.
6-24
Post-op (Cleft PALATE) patients should be ___ position.
prone position (to help drain)
Cleft lip should NOT be ___ as this could disturb the suture line.
prone
You can use ___ ___ to avoid toddler putting things in the mouth.
elbow restraints
post-op CLEFT patients NO ___ or ___ suctioning.
oral or nasal suctioning
When feeding the baby should be in an ___ position. (cleft)
upright (avoid aspiration)
(cleft) patients should have ___ ___ feedings.
small frequent feedings
____ is an opening between the trachea and the esophagus.
TEF Tracheoesophageal fistula
____ ____ part of the esophagus doesn’t form
esophageal atresia
With esophageal atresia food isn’t going to the ____.
stomach
Some assessments you will see in a patient with (TEF or esophageal atresia) (3)
- choking
- coughing
- cyanosis
With pyloric stenosis food is ___ in the stomach.
trapped
TEF / esophageal artresia should be ____ pre-op.
NPO
____ ___ is hypertrophy of the circular muscle fibers of the pylorus. With a severe ____ of the lumen.
pyloric stenosis / severe narrowing of the lumen
Patients with pyloric stenosis have ___ - ____ and ____ vomiting.
non-bilious & projectile vomiting
Patients with pyloric stenosis will vomit ___ ___.
after feeding
Patients with pyloric stenosis have a ____ pylorus.
palpable pylorus
_____ the abdominal contents protrude through the umbilicus while remaining in the peritoneal sac.
Omphalocele
What is the tx for pyloric stenosis? (3)
- correct dehydration
- pyloromyotomy
- nutrition after surgery
Some patients with omphacele have ___ / ___ defects.
cardiac / lung
What are 3 complications of omphacele?
- hypothermia
- dehydration
- sepsis
_____ occurs when one part of the intestine slips inside the other intestine.
intussusception
Pre-op management of omphacele is to keep the exposed intestines ___, & cover with ____ ___ soaked in saline.
moist / sterile gauze
____ ____ are small volumes of milk given to stimulate the bowel which are maintained for up to 7 days and not intended to contribute to nutrition.
trophic feeds
A key assessment you see in intusscpetion is ___ ____ __ stools.
red currant jelly stools
Patients with intussception have ____ abdominal pain.
cyclical abdominal pain
Patients with intussception have a ___ shaped mass in the abdomen.
sausage shaped
How are patients with intusseption treated?
enema - to attempt to push the intestine back out. If successful a surgical repair is needed.
____ is a congenital megacolon.
Hirschsprung’s
Patients with hirschprungs don’t have neurons so they have no ____.
peristalsis
In hurschsprungs stool will build up and cause a ____.
megacolon
Patients with hirschsprungs will have a ___ like stool.
ribbon like stool
Patients with hirschsprungs vomit a ___ or ___ substance.
green or brown substance
You will see a delayed passage of ____ in patients with Hirschsprung’s.
meconium
The main surgical procedure performed for Hirschsprung’s disease is called ___ - ____ or ____ procedure.
pull-through or soave
What is the surgical intervention for hirschprungs aim?
to remove the affected portion of the colon (large-intestine) that lacks nerve cells responsible for peristalsis
Which pediatric GI symptom has no mass?
Hirschsprungs
Which GI symptom has no specific stool symptom?
Pyloric Stenosis
