Term
| .What is post surgical care for a G-Tube site? |
|
Definition
- Tender/Red/Swollen?
- GENTLE Wash w/ soap and water DAILY to remove crusts and pat dry
- NO SOAKING in bath for 1 week
- Minimize MOVEMENT
- Don't use for ONE WEEK |
|
|
Term
| What are the indications for gastrostomy tube in children? |
|
Definition
- Stomach structure and function are fine (OK IN/OUT)
- Aspiration/Nutritional issues
- Dysphagia issues |
|
|
Term
|
Definition
| - Sm bowel pushes through ileocecal valce into colon creating OBSTRUCTION |
|
|
Term
| What are the s/sx of Intussusception? |
|
Definition
- Bowel OBSTRUCTION-->ischemia
- RED CURRANT JELLY STOOLS
- DRAWS UP LEGS
- Increased BP, T, HR
- Lethargy
- Emesis
- RECURRANCE IS 10% w/ reduction and 1-4% with surgery |
|
|
Term
| How is Intussusception treated? |
|
Definition
- AIR or water enema to cause Reduction
- Surgergical correction |
|
|
Term
|
Definition
| Fecal/other blockage of the appendix leading to rupture and peritonitis. |
|
|
Term
| How is appendicitis managed? |
|
Definition
| Prompt surgical removal of appendix (can rupture w/in 48 hrs) |
|
|
Term
| What are the complications following appendectomy? |
|
Definition
| Intraabdominal abcess, ileus, pain |
|
|
Term
| What are the clinical features of Necrotizing entercolitis? |
|
Definition
1. Lethargy
2. Temperature instability
3. recurrent APNEA
4. Bradycardia
5. Hypotension
6. Abdominal Distension/Erythema
7. Bloody Stool
8. Increased gastric residuals
9. Vomiting/Diarrhea |
|
|
Term
| What are the most common complications of Gastroschesis? |
|
Definition
1. Necrotizing entercolitis
2. BSI
3. Wound Infections
4. Bowel obstruction
5. Malabsorptive diarrhea
6. Feeding intolerance |
|
|
Term
| What is the FLUID requirement for an infant? |
|
Definition
|
|
Term
| What is the expected urine output of an infant? |
|
Definition
|
|
Term
| What are the early signs of respiratory distress that may be the first sings of NEC OR a complication of gastroschesis? |
|
Definition
1. Tachypnea
2. Nasal Flaring
3. Retractions
4. Grunting
5. Cyanosis
5. Ox Sats
6. RR outside of normal range (30-60 RR/min) |
|
|
