Term
| What are functions of the GI system? |
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Definition
1. Ingest, digest, & absorption of fluids & nutrients
2. Metabolism of needed nutrients
3. Excretion of waste products |
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Term
| Before birth what provides nutrients & waste? |
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Definition
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Term
| Why do patients with short gut end up with liver failure? |
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Definition
| These patients are on TPN which is based on labs from the day before. The liver then has to compensate and eventually wears out |
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Term
| How long is sucking a reflex? |
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Definition
| 6 weeks of age, then it is voluntary |
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Term
| Why do newborns need frequent meals? |
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Definition
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Term
| Why are 50% of infants "spitters?" |
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Definition
| Relaxed cardiac sphincters |
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Term
| How long is digestion in the duodenum? |
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Definition
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Term
| What results from digestion in the duodenum? |
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Definition
| results in decreased enzymes, gas, & distention |
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Term
| What changes in the GI tract with time? |
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Definition
1. Stomach capacity
2. Intestinal motility
3. Enzyme secretion
4. Liver maturation over first year of life |
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Term
| By what age and why can a child eat 3 meals per day? |
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Definition
| Age 2; The child develops excretory control |
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Term
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Definition
1. Growth & development of GI tract interrupted in the first trimester
2. Affect one or more areas
3. Atresia: absence or closure of normal body orifice
4. Malposition
5. Order |
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Term
| What are important items to find out when taking a history for patients with GI problems? |
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Definition
1. Inability to gain weight or weight loss
2. Vomiting (right after meal or delayed)
3. Diarrhea
4. Constipation
5. Diet Hx
6. Food intolerances
7. How much child eats
8. Change in eating habits or stool
9. What kind of pain (OPQRST)
10. abdominal distention
11. Abdominal tenderness
12. Diseases: sickle cell anemia, diabetes, viral illness |
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Term
| What would be an indication to a nurse that a newborn has TEF? |
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Definition
1. Bubbly copious secretions
2. NG tube cannot be advanced during routine lavage follow bith |
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Term
| What are OR preparations for TEF? |
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Definition
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Term
| What are nursing postoperative procedures for TEF patient? |
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Definition
1. Keep in high fowler to prevent pneumonia
2. Maintain clean gastrostomy
3. Antibiotics
4. TPN nutrition 24-48 hours after surgery
5. monitor I/O
6. manage pain |
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Term
| What are symptoms of esophageal stricture? |
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Definition
1. drooling
2. Intolerant to solid food as evidence by choking and gagging
3. Regugitation |
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