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Test 6
Test 6
17
Nursing
Undergraduate 2
11/24/2012

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Term
Esophageal atresia
Definition
congenitally interrupted esophagus where the proximal and distal ends do not communicate.

Upper esophageal segmant ends in a blind pouch

Lower segment ends a variable dcistance above the diaphram
Term
Tracheoesophageal fistula
Definition
Abnormal communication between the trachea and esophagus.
Term
Where does a tracheoesophageal fistula most communly occur when associated with an esophageal atresia?
Definition
between the distal esophageal segmant (lower segment) and trachea
Term
Congenital anomalies often found in infants who have a tracheoesophageal fistula/Esophageal atresia
Definition
Vertebra, kidneys, heart, musculoskeletal and GI systems.
Term
Nursing assessment for infant w/ esophageal astria/tracheoesophageal fistula
Definition
Maternal polyhyramnios

Copious frothy bubles of mucous in mouth/nose along w drooling

Abdominal distention (air)

Coughing, choking, cyanosis.
Term
Pneumonitis
Definition
inflammation of the lungs d/t presence of a forign substance
Term
atelectasis
Definition
collapsed lung
Term
Diagnosis of esophageal atresia/transesophageal fistula
Definition
Radiographic elvaluation
X-ray
Term
Pre-Op Care for child having surgical correction of esophageal atresia/transesophageal fistula
Definition
NPO
HOB 30-45 degrees
Monitor fluid & electrolyte balance
Maintain patency of orogastric tube (low suction)
Don't irrigate Orogastric tube
Have O2 and suction equipment at HOB
Minimize crying
Talk to parents
Passifier
Term
Post-Op care for child with corrected esophageal astria/tracheoesophogeal fistula
Definition
TPN
Antibiotics
Oral feedings usually start about 1 week post op once the anastomosis is proven intact and patent
Term
Normal blood ammonia levels
Definition
Adult 10-80 mcg/dL
Child 40-80 mcg/dL
Term
Why is there ammonia in the blood?
Definition
by-product of protein catabolism. Normally it goes to the liver and is converted into urea and secreted by the kidneys
Term
What do elevated ammonia levels indicate?
Definition
Decreased liver function
Term
cycloSPORINE (Sandimmune)
Definition
Immunosuppresant (anti-rejection)
nephrotoxic
Increases BP
Take with meals
no grapefruit juice
Increases hair growth
good oral hygiene
Term
tacrolimus (Prograf)
Definition
Immunosuppresant (anti-rejection)
Don't use with cyclosporine
Causes GI symptoms
Hypertension
No raw seafood
photosensitivity
Term
mycophenolate mofetil (CellCept)
Definition
Immunosuppresant (anti-rejection)
Empty Stomach
Not with antacids
Term
hydrochlorothiazide
Definition
Diuretic
Potassium wasting
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