DISEASES
WHAT ARE SOME CLEFT LIP AND PALATE INTERVENTIONS AND WHAT DO WE WANT TO PREVENT?
INTERVENTIONS: SPEECH THERAPY REFERRAL, MONITOR ASPIRATIONS AND EAR INFECTIONS
PREVENT: INJURY TO THE SUTURE LINE SO USE SOFT ELBOW RESTRAINTS ON BABY AFTER SURGERY
WHAT ARE SOME SIGNS AND SYMPTOMS OF VOLVULUS AND HOW DO WE TREAT IT?
ABDOMINAL DISTENTION, INTENSE/CRYING PAIN, VOMITING, TACHYCARDIA AND TACHYPNEA
ITS A SURGICAL EMERGENCY: NPO, FLUIDS AND NG TO SUCTION
WHAT IS HIRSCHSPRUNG'S DISEASE AND HOW DO WE DIAGNOSE IT?
IT'S A BLOCKAGE OF THE INTESTINES BECAUSE OF LACK OF NERVES IN THE BOTTOM COLON SEGMENT
DIAGNOSE: RECTAL BIOPSY
HOW DO WE TREAT HIRSCHSPRUNG'S DISEASE?
WHAT ARE THE NURSING PRIORITIES FOR OMPHALOCELE/GASTROENTISCHIS?
BOTH : GIVE ANTIBIOTICS TO PREVENT INFECTION, NPO WITH NG TUBE TO DECOMPRESS, SURGICAL CLOSURE
GASTROENTISCHIS: APPLY STERILE GAUZE
WHAT IS PYLORIC STINOSIS?
WHEN THE PYLORUS BLOCK FOOD FROM ENTERING THE SMALL INTESTINE
WHAT ARE SOME ASSESSMENT FINDINGS FOR CELIAC DISEASE?
WEIGHTLOSS, FOUL SMELLIGN STOOL, ENAMEL DEFECTS, DELAYED G&D, B12 DEF, RASH
HOW DO WE DIAGNOSE CELIAC DISEASE AND WHAT IS THE PRIORITY INTERVENTIONS?
DIAGNOSE: ENDOSCOPY W/BIOPSY, CBC-INCREASED IGA
PRIORITY : GLUTEN FREE DIET
WHAT IS THE PRIMARY INTERVENTION FOR GERD?
HOLD BABY UPRIGHT AFTER FEEDINGS OR ELEVATE THE HOB TO PREVENT CHOKING
WHAT IS BILARRY ATREASIE AND HOW DO WE TREAT IT?
ABSENCE OF BILE DUCTS THAT DRAIN BILE FROM THE LIVER
TX: ADEK SUPPLEMENTATION, SURGERY- MAY NEED LIVER TRANSPLANT
WHAT IS VOLVULUS? AND HOW DO WE DIAGNOSE IT?
ABNORMAL TWISTING OF THE BOWELS WHICH CAN IMPAIR BOWELS
DIAGNOSED : UPPER GI XRAY AND ELECTROLYTES
WHAT ARE SOME SIGNS AND SYMPTOMS OF APPENDICITIS?
ROVINGS SIGNS: RIGHT LOWER QUADRANT PAIN, ILIOPOSAS SIGN: PAIN ON HIP EXTENSION, PAIN AT MCBURNEYS POINT, LOW FEVER, LAYING WITH KNEES BENT
HOW DO WE DIAGNOSE PYLORIC STENOSIS? HOW DO WE TREAT IT?
OLIVE SIGN: PYLORIC MASS IN MID-EPIGASTRIUM
INTERVENTIONS: NPO, IV FLUIDS, SURGERY PREP
WHAT WOULD GIVE GASTROENTERITIS FOR DEHYDRATION?
START WITH ORAL REHYDRATION SOLUTIONS EVERY 30 MINUTES THEN IV HYDRATION - ISOTONIC SOLUTIONS
CLINICAL MANIFESTATIONS FOR BILLIARY ATRESIA?
JAUNDICE AT 2 WEEKS, PALE STOOLS, ENLARGED LIVER, DARK OR TEA COLORED URINE, ENLARGED LIVER
WHAT IS INTUSSUCEPTION? AND HOW DO WE DIAGNOSE IT?
THE INTESTINE SLIDED INTO ADJACEPT PART OF THE OTHER INTESTINES
DIAGNOSED: BARIUM ENEMA, ULTRASOUND AND CBC
WHAT SHOULD BE CONCERNED ABOUT WITH APPENDICITIS AND WHAT ARE SOME PRIORITY INTERVENTIONS?
IF PAIN CEASES OR DECREASES: IT COULD HAVE PERFORATED
INTERVENTIONS: NPO, IV HYDRATION, ABX AND PAIN MEDS , SURGERY PREP
WHAT ARE SOME SIGNS AND SYMPTOMS FOR INTUSSUCEPTION?
PAIN OCCURING IN 15-20 MINS REGULAR INTERVALS, CURRANT JELLY STOOLS, ELEVATED WBC
HOW DO WE TREAT INTUSSUCEPTION?
BARIUM ENEMA TO PUSH THE INTESTINES BACK INTO PLACE IF IT DOESNT WORK THEN WE DO SURGERY CORRECTION
WHAT IS FAILURE TO THRIVE?
WEIGHT FOR AGE THAT IS LESS THAN 5TH PERCENTILE AND CROSSES MAJOR 2 PERCENTILE
WHAT IS GASTROEOSOPHAGEAL REFLUX? WHAT IS THE CAUSE OF IT ?
THIS IS RETROGRADE FLOW OF GASTRIC CONTENTS INTO ESOPHAGUS
CAUSE: IMMATURE LOWOER ESOPHAGEAL SPHINCTER
HOW DOES GERD- GASTROESOHAGEL REFLUX PRESENT?
VOMITING, BURNING SENSATION, CHOKING, SLOW WEIGHT GAIN, IRRITABLE CRYING AFTER MEALS, ARCHING DURING MEALS, EPIGASTRIC PAIN MILD STERNAL DISCOMFORT
WHAT IS GASTROENTERITIS AND WHAT ARE WE WORRIED ABOUT WITH THESE PATIENTS?
THIS IS ONSET DIARRHEA WITHOUT ANY CHRONIC DISEASE CAUSING IT.
WE ARE WORRIED ABOUT DEHYDRATION
WHAT IS THE DIFFERENCE BETWEEN OMPHALOCELE/GASTROENTISCHIS?
THEY ARE DEFECTS WHERE YOUR ABDOMINAL WALL IS OUTSIDE THE BODY
GASTROENCTISCHIS: HAS NO SAC
OMPHALOCELE: CONTAINED WITHIN A SAC
WHAT IS SHOCK? WHAT ARE THE THREE DIFFERENT TYPES?
Shock: inability of the body to maintain adequate blood flow and oxygen supply to the tissues
distributive shock/septic: Shifting of fluids from intravascular space to the extracellular called by blood vessel dilation- LEG RAISED AT 45 DEGREES
Hypovolemic shock: Dehydration or loss of blood with decrease in hgb
obstructive shock: Prevents blood and oxygen from getting to your organs