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Maternal Exam 3 > Test Plan > Flashcards

Test Plan Flashcards

1
Q

Near Drowning- Care of the Patient

A

CRP Immediately at scene
Management is based on degree of cerebral insult
Hospitalization for observation (24 hrs)
prognosis: best predictor is the length of submersion

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2
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Near drowning frequent complication

A

Aspiration pneumonia

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3
Q

Drowning Patho

A

Hypoxia (4 mins max)
Aspiration
Hypothermia (Increase BF to extremities, away from vital organs)

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4
Q

Hirschsprung’s Disease

A

“congenital aganglionic megacolon”
Mechanical obstruction from inadequate motility of intestines.
Doesn’t allow sphincter to relax
Loss of internal anal sphincter to relax
Accumulation of stool with distention

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5
Q

Hirschsprung’s Diagnostic evaluation

A

Most cases diagnosed in the first few months of life
Complete, careful hx
X-ray, barium enema studies, anorectal exam, rectal biopsy to confirm (Narrow poop ribbon like)

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6
Q

Hirschsprung’s S/S Newborns

A

Failure to pass meconium stool
Chronic Constipation
Reluctant to eat abdominal distention

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7
Q

Hirschsprung’s S/S Infants

A

Failure to thrive
Constipation
Abdominal distension
Vomiting
Episodic diarrhea

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8
Q

Hirschsprung’s S/S Toddlers and older children

A

Foul-smelling stools
Abdominal distention
Visible peristalsis
Palpable fecal mass
Malnourishment
Signs of anemia and hypoproteinemia

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9
Q

Hirschsprung’s therapeutic management

A

Sugery- removal of aganglionic portion of the bowel to relieve obstruction, restore normal motility, and preserve function of sphincter.
Two stages
-Tempory ostomy
“Pull-through” procedure

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10
Q

Hirschsprung’s preop care

A

NPO, stable, depends on age and clinical condition, may need to stabilize malnourished child prior to procedure

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Maternal Exam 3 (2 decks)

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