GI
What disease is characterized by steatorrhea
Celiac Disease
General cause of peptic ulcer
H pyloric
Known as Hypopituitarism or dwarfism
Growth Hormone Deficiency
What is the indication of a water deprivation study
Diagnose diabetes insipidus and distinguish the different types of DI
Which GI drugs end in DINE
What type of GI drugs end in PRAZOLE
Histamine 2 blockers
Proton pump inhibitors
What is the disorder called when the intestines telescopes upon itself
Give me 2 signs and symptoms with one being the tell tell sign of this disorder
Intussusception
current jelly stools, gross blood, vomit, diarrhea, severe pain usually draw up knees and scream, lethargy sudden onset of pain and cramps
What would signs and symptoms would you expect to see of child with Hirschsprung's disease
What is the general treatment
No stools present with the first 24 to 48 hours usually may require rectal stimulation to pass first stool
Surgery resection of bowel with stony
What disorder is characterized when excessive amounts of thyroid hormone are released in response to human thyroid stimulator immunoglobulin
Hyperthyroidism: Graves disease
This medication is a synthetic antidiuretic hormone that promotes reabsorption of water by action on renal tubules
Desmopressin Acetate DDAVP
Tell me what this medication is used to control: DI or SIADH
When giving an enema to a child what is the insertion depth)
What position would you put the infant or toddler in
2 to 3 inches (5-7.5 cm)
on abdomen with knees bent
When doing a health history of appendicitis give me two symptoms that a parent may report.
vague abd pain localizing tonight lower quadrant
Nausea and vomiting usually after pain
small volume, frequent soft stools usually confused with diarrhea
low grade fever if perforation then high fever
What is the criteria for IBS to be diagnosed
All of the following at least once per week for at least 2 months
Abd pain with relief after defecation
Discomfort with change in frequent and discomfort associated with change in appearance of stool
no structural, inflammation, neoplastic or metabolic explanation of abd pain
Disease characterized by overproduction of testosterone by the by the ovaries
Name 2 symptoms seen
Polycystic ovary syndrome
balding, hirsutism, acne, increased muscle mass, decreased breast size
Signs and symptoms for parents to be educated on for DKA (the main two and one more
Kussmauls and fruity selling breath (ketones in urine or blood alter LOC, super, N&V, confusion, decreased turgor, abd pain, anorexia
What is the formula for fluid maintenance
100ml/kg firs 10kg
50 ml/kg next 10 kg
20 ml/kg remaining kg
Add together the total ML needed per 24 hour period
Divide by 24 for ml/hr fluid replacement
pg 1521
Name the transmission routes of Hep A, Hep B, Hep C and Hep E
A: oral/fecal poor sanitation waterborne
B Sexual, IV, Transfusion, perinatal
C Blood or IV useE
E oral and fecal
With what GI disorder is a Nissen Fundoplication done as treatment
What are the two adrenal gland disorders
Name two parathyroid disorders
Cushings and Addison.
Hypo and Hyper parathyroidism
1 damaged pancreatic B cell damage
2 impaired degree of B cell damage (insulin resistance)
3. secondary to certain conditions CF, cushings, infections, downs, Klinefelter and turner syndrome
4. gestational diabetes with pregnancy
Name a growth Hormone
Name 2 nursing implication of growth hormoneSomotropin or humatrope
BS and electrolyte, monitor growth with accurate measurement, route and administration, TFT, may interact with glucocorticoid therapy, monitor for limping or complaints or knee or ip pain related to slipped epiphysis
Name two proton pump inhibitors and two adverse effects of them
omeprazole, Lansoprazole, esomeprazole, pantoprazole, raberprazole
Adverse effects include headache , nausea, Abd pain or diarrhea
Set up
Take off old bag
Observe site
Measure
Apply
Name five endocrine glands
Thyroid, hypothalamus, Pituitary, adrenal gland, thymus, pancreas, ovary gonads, parathyroid
Name 5 signs of cushings disease
Moon face, hirsutism, red cheeks, cervicodorsal fat pad, ecchymoses, weight gain, pendulous abd, abd stipe, thing are and legs, poor wound healing
Give me a short acting insulin and the peak
Long acting insulin and duration
Rapid acting insulin and onset
Intermediate insulin and duration
Humulin R/Novolin R with a peak 2-4 hours
Glargine (Lantus, Determir (Levemir) Degludec (tresiba) 22-24 hr, 20-24 hr >42 hr
Aspart (Novolog) Lispro (Humalog) Glulisine (Apidra) within 15 minutes
NPH Humulin N and Novolin N 12-14 hours