Peds-Hirschprungs Disease

Question 1

S/S of Hirschsprungs

Answer 1

Absence of meconium stool in newborn

• Bilious vomiting
• Abdominal Distension
• Severe Constipation
• Ribbon or Pellet-like stool
• Poor weight gain
• Food Intolerance

Question 2

Serious complication of Hirschsprungs Disease

Answer 2

• Enterocolitits - inflammation of digestive tract

* Sepsis

Question 3

____% of children with Hirschsprungs end up with Enterocolitis

Answer 3

6%

Question 4

Hirschsprungs is often seen in children that have _____________ syndrome

Answer 4

Down

Question 5

Physical Exam of child with hirschsprungs?

Answer 5

_Abdominal Distention

_Digital rectal exam-to evaluate if there is any stool in colon

Question 6

Dx test used for Hirschsprungs

Answer 6

XRAY
_Water-soluble contrast enema
_Rectal Biopsy

Question 7

Hirschsprungs is more commonly seen in which gender?

Answer 7

Females

Question 8

nursing Preoperative Care for Hirschsprungs

Answer 8

• Support child and family
• NPO
• NG tube (to decompress the bowel)
• IV fluids

Question 9

Surgical treatment of Hirschsprungs

Answer 9

• Pull Through Procedure

* Coloscopy

Question 10

Postoperative Nursing care Hirschsprungs

Answer 10

• Pain Management
• NG tube to suction
• Assess abdomen for distension
• Monitor for fever
• Assess diaper area for breakdown
• Colostomy care
• Rectal dilations
• Bowel Program