Term
| if a child has belly pain, what should the nurse ask |
|
Definition
|
|
Term
| this can be caused by abnormal losses from vomiting, diarrhea or lack of oral intake |
|
Definition
|
|
Term
| what post op pt is at risk for dehydration |
|
Definition
|
|
Term
| involuntary overflow of incontinent stool soiling secondary to impaction or fecal retention |
|
Definition
|
|
Term
| criteria for constipation |
|
Definition
| difficulty with stool or less than 3 stools for 2 weeks |
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|
Term
| abdominal pain can be caused by what three |
|
Definition
| hemorrhage, obstruction, or inflammation |
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|
Term
| tarry stools are called what |
|
Definition
|
|
Term
|
Definition
|
|
Term
| some signs of dehydration include what |
|
Definition
| weight, pulse, behavior, thirst, mucous membraines, tears, fontanel, capillary refill |
|
|
Term
| most cases of diarrhea are caused from what route |
|
Definition
|
|
Term
| this occurs in children less than 5, causes watery diarrhea, fever, vomiting, horrible smell |
|
Definition
|
|
Term
|
Definition
| watery diarrhea, abd cramps, bloody diarrhea |
|
|
Term
| E coli dirrhea is usually caused by what |
|
Definition
|
|
Term
|
Definition
| bloody dirrhea, fever, cerebral manifestations, usually from food, undercooked |
|
|
Term
| salmonella could lead to what two |
|
Definition
|
|
Term
| salmonella diarrhea can last how long |
|
Definition
|
|
Term
| how often are IV sites checked |
|
Definition
|
|
Term
| ORT is started and progress to |
|
Definition
| breastmilk, lactose free formula, pedialyte |
|
|
Term
| name 4 ways to manage constipation |
|
Definition
| diet, medications (miralax), exercise, journal |
|
|
Term
| kids who are constipated should not drink what |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what is given for pinworms |
|
Definition
|
|
Term
| name some symptoms of pinworms |
|
Definition
| rash, bedwetting, perianal itching |
|
|
Term
| hirschsprung's is caused by |
|
Definition
| mechanical obstruction caused by inadequate part of the intestine |
|
|
Term
| what are the symptoms of hirchsprungs |
|
Definition
| abd distension, poor feeding, vomiting, delay in passage of meconium (ribbon like foul smelling stools), explosive diarrhea and vomiting that is bilous, palpable fecal mass |
|
|
Term
| how is hirchsprung's treated |
|
Definition
| surgery to relieve the obstruction (maybe colostomy) |
|
|
Term
| infants can have GER that goes away on its own during what time period |
|
Definition
|
|
Term
| symptoms of GER include what |
|
Definition
| spitting up, fussy, weight loss, respiratory problems |
|
|
Term
| older kids can have what symptoms with GER |
|
Definition
| heartburn, abd pain, chronic cough, nocturnal asthma, dysphagia, chest pain |
|
|
Term
| when does GER become a disease |
|
Definition
| when complications develop (bleeding, failure to thrive) |
|
|
Term
| management of GERD includes what |
|
Definition
| avoid citrus alcohol, peppermint, spicy or fried foods, weight control, smoking cessation, feedings thickened, upright positioning, 30 degrees an hr after feeding |
|
|
Term
| what is the most common cause of emergency surgery in kids |
|
Definition
|
|
Term
| the right lower quadarant is where what is |
|
Definition
|
|
Term
| appendicitis is usually caused by what |
|
Definition
|
|
Term
| symptoms of appendicitis includes what |
|
Definition
| periumbilical pain, vomiting, fever, elevated WBC, RLQ pain, severe pain on palpation |
|
|
Term
| what do you want to protect with appendicitis r/t infection |
|
Definition
|
|
Term
| what is a comfortable position for a child with appendicitis |
|
Definition
| legs flexed with a pillow to splint |
|
|
Term
| how does a child present with appendicitis with positioning |
|
Definition
| side lying, rigid and motionless |
|
|
Term
| name 3 symptoms of meckel's diverticulum |
|
Definition
| abd pain, bright red mucous in stools, bloody stools without pain |
|
|
Term
| this is inflammation of the colon and rectum with the distal colon and rectum most effected |
|
Definition
|
|
Term
| symptoms of ulcerative colitis include what 3 |
|
Definition
| diarrhea, rectal bleeding, abd pain associated with urgency |
|
|
Term
|
Definition
| chronic inflammaatory process invlving GI tract from mouth to anus |
|
|
Term
| 5 symptoms of Crohn's are what |
|
Definition
| fistulas, skin tags, diarrhea, decreased appetite, weight loss, growth failure, nutritional issues |
|
|
Term
| IBD kids need what kind of diet |
|
Definition
| high protein, high calorie |
|
|
Term
| if medication and nutritional interventions fail, what may be needed to prevent complications |
|
Definition
|
|
Term
| rectal bleeding occurs with what IBD |
|
Definition
|
|
Term
| pain occurs more frequently with which IBD |
|
Definition
|
|
Term
| weight loss and growth retardation occurs more often with what IBD |
|
Definition
|
|
Term
| anal and perianal lesions occur more often with which IBD |
|
Definition
|
|
Term
| manifestations of billiary atresia include what |
|
Definition
| jaundice (stains diapers), apparent after 2-3 weeks of birth, stool white or tan, hepatomegaly, abd distension, failure to thrive, pruritis |
|
|
Term
| fibrosis and obliteration of the billiary tree is |
|
Definition
|
|
Term
| when the billiary system is resected to allow drainage in infants |
|
Definition
|
|
Term
| what is usually needed later with billiary atresia |
|
Definition
|
|
Term
| what is supplemented with billary atresia |
|
Definition
|
|
Term
| if an enteral solution is needed with billiary atresia, what should it be low in |
|
Definition
|
|
Term
| if untreated before age 2, biliary atresia leads to |
|
Definition
|
|
Term
| what is the key to survival of BA |
|
Definition
|
|
Term
| cleft palate may involve what 2 |
|
Definition
|
|
Term
| this happens when the maxillary and median nasal processes fail to fuse |
|
Definition
|
|
Term
| cleft lip and palate is usually caused by what |
|
Definition
| teratogens- alcohol, smoking, seizure meds, steroids, retinoids, phenytoin |
|
|
Term
| what is a usual sign of previously undiagnosed cleft lip or palate |
|
Definition
|
|
Term
| how do you assess the palate as a nurse |
|
Definition
| put finger in mouth and feel |
|
|
Term
| what are the concerns post op after a repair of cleft lip or palate |
|
Definition
|
|
Term
| what is a complication of cleft lip and palate |
|
Definition
| auditory problems, otitis media (ear tubes), and tooth malalignment |
|
|
Term
| how should infants be positioned for feeding after cleft repair |
|
Definition
| upright (use enlarged nipples, allow them to rest, do not remove the nipple because the infant is making noise, burp frequently) |
|
|
Term
| post operative care of cleft lip or palate |
|
Definition
| prevent crying, elbow restraint, a jacket, clear liquids, antibiotic ointment, soft foods |
|
|
Term
| if a child has an olive like mass and projectile vomiting they may have |
|
Definition
|
|
Term
| a child with pyloric stenosis may have what 3 complications |
|
Definition
| metabolic alkalosis, dehydration and failure to thrive |
|
|
Term
| what is done to diagnose pyloric stenosis |
|
Definition
|
|
Term
| why do they have an olive mass |
|
Definition
| it is the hypertrophied pylorus |
|
|
Term
| what are usually performed on kids with pyloric stenosis |
|
Definition
| assess pain,I/O, antibiotics, NG tube |
|
|
Term
| post op pyloric stenosis repair, what are they fed |
|
Definition
| glucose water or pedialyte |
|
|
Term
| intussesception is common in what to |
|
Definition
|
|
Term
|
Definition
| when a portion of the bowel invaginates in a more distal portion |
|
|
Term
| what is the triad of intussusception symptoms |
|
Definition
| abdominal pain (pulls knees to chest screaming), abdominal mass (suasage like), bloody stools (currant jelly like) |
|
|
Term
| what is used to treat intussesception |
|
Definition
|
|
Term
| before attempt to repair intussusception, do what 3 |
|
Definition
| abx, IV fluids, NG decompression |
|
|
Term
| when is celiac disease usually noticed |
|
Definition
| GI symptoms several months after introducing gluten |
|
|
Term
|
Definition
|
|
Term
|
Definition
| foul smelling frothy stools that are fatty, anorexia, anemia |
|
|
Term
|
Definition
| rye barley wheat and oats |
|
|
Term
| the diet of a child with CD should be what |
|
Definition
| high in calories and protein |
|
|
Term
| what is a complication of celiac disease |
|
Definition
|
|
Term
| how do they diagnose celiac disease |
|
Definition
| biopsy or celiac sprue test |
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|
