PEDS-Short Bowel Syndrome

Question 1

Children with diarrhea can end up with what metabolic process

Answer 1

Metabolic acidosis

Question 2

TRUE or FALSE

Organic “failue to thrive” has a medical dx attached to it

Answer 2

TRUE

Question 3

Difference between “Organic” & “Non-Organic” failure to thrive

Answer 3

non organic is caused by NEGLECT

Organic is caused by a medical reason

Question 4

Number one cause of SHORT BOWEL SYNDROME in infants is ________________

Answer 4

necrotizing enterocolitis

Question 5

any patient receiving TPN needs ________ to be monitored

Answer 5

Liver function

Question 6

Medication management of Short Bowel Syndrome

Answer 6

• HISTAMINE BLOCKER-tells stomach to slow
  
  • Pepcid, Tagamet, Zantac
• PPI - shuts the acid pump down
  
  • Prevacid, Protonix
• FLAGYL- used to decrease bacterial overgrowth
• ANTI-DIARRHEA-lOPERAMIDE
• FATS - MCT OIL - Allows fat soluble vitamins to be absorbed

Question 7

What is the purpose of the HISTAMINE BLOCKERS and the PPI

Answer 7

SLOWS DOWN GASTRIC HYPERSECRETION AFTER BOWEL RESECTIONING

Question 8

The goals for this type of patient is __________and____________.

Answer 8

growth

tolerance