Cleft Lip/Palate
These are at least 3 S/S of cleft lip/palate
What are? facial defects, palpable defect, feeding difficulties (suck), failure to thrive, gagging and choking, congestion, speech delays, reccurent otitis media, psychological difficulties
What are bacterial and viral pathogens such as e coli, salmonella, and rotovirus
This is the cause of GER
What is the relaxation or incompetence of the cardiac or LES
This is the cause of the intestinal obstruction
What is lack of peristalsis
This is how you would describe the disease process of esophageal atresia
What is where the esophagus ends in a blind pouch and not a continuous tube to the stomach
This is the care of the incision site after cleft lip/palate repair
Make sure to assess integrity of suture line, avoid anything in the mouth that may interrupt sutures, after feeding gently cleanse the suture line with a saline-soaked cotton tipped swab
These are the 2 most common complications resulting from diarrhea
What are dehydration and electrolyte imbalances
These are at least 3 S/S
What are regurgitation and emesis immediately after eating, pain shown as crying and irritability, refusal to eat, poor weight gain, respiratory s/s due to aspiration
Theses are at least 3 S/S of Hirschsprung's in infants
What are failure to pass meconium, abdominal distention, vomiting, poor feeding, dehydration, failure to thrive, fever
This is how you would describe the disease process of tracheoesophageal fistula
What is where the esophagus is connected to the trachea by a fistula
These are 2 possible problems statements that would be the most pertinent for cleft lip/palate
What are potential for aspiration, insufficient nutrition
These are at least 3 S/S of dehydration in infants/small children
What are cool, pale skin, irritability, low bp, malodorous stools, normal or elevated temp, poor skin turgor, pale mucous membranes, rapid pulse and respirations, sunken eyes and fontanelles, vomiting, and weight loss
These are at least 3 medical treatments for GER
What are small frequent feedings with thickened formula, upright position during and after feeding, medications, and surgery
These are at least 3 S/S of Hirschsprung's in an older child
What are abdominal distention, ribbon-like stools, foul smelling stools, poor weight gain, anemia, palpable fecal mass, visible peristalsis
These are the 3 C's that are common S/S of the disorders
What is coughing, choking, and cyanosis
What are do not rush, feed upright, special feeding devices, ESSR technique, frequent burping
This is the goal for treatment
What is to restore fluid and electrolyte balance
This is the surgical procedure to treat GER if not corrected with lifestyle management
What is a Nissen Fundoplication
This is the type of surgical procedure might have to be performed if condition not corrected
What is removal of the affected portion of bowel - resection?
This is the #1 greatest risk for infants with the disorder
What is aspiration?
These are at least 3 items to avoid after cleft palate repair
What are straws, pacifiers, eating utensils, hard foods that may puncture
These are at least 4 interventions to monitor/treat for diarrhea/dehydration
What are offering oral rehydrating solutions, IV fluids, reintroducing non irritating foods as tolerated, treat underlying cause, I&O, daily weights, avoid antidiarrheals if bacterial, hand hygiene, frequent diaper changes, protect skin, if NPO offer oral care
What are at least 3 teaching points for parents with babies with GER
What are thickening formula or breast milk with cereal, proper positioning, burp after every ounce, handle infant minimally, feed solids then liquids, avoid foods that cause reflux, medication teaching
These are at least 3 nursing interventions for Hirschsprung's
What is a low fiber, high protein and calorie diet, daily enemas and or stool softeners, may require parenteral nutrition, and surgical correction - may have colostomy
This is the only treatment for the conditions
What is surgical correction of the defect?