Disorders
Dehydration
Disorders Part II
"Im"Motility
Feed that child!!!
100

Pain at McBurney's point

What is appendicitis

100

Mild, moderate and severe % of body weight lost

mild - <5%, moderate - 6-9%, severe - 10% or more

100

Treatment includes h2 blocker, PPI, pro-kinetic agents, upright 30 minutes after feeds, small frequent feeds, thickened formula

What is gastroesophageal reflux

100
Priority goal of care in gastroenteritis
What is Monitor fluid and electrolytes
100
"Rag-doll" limpness
What is hypotonia seen with failure to thrive (FTT)
200

Projectile vomiting

What is Pyloric stenosis

200

Assessment findings

thirst, urine output, urine specific gravity, skin turgor, fontanelles, HR, BP, cap refill, skin color, temp

200

Defects occur at 5-12 weeks gestation

What is Cleft Lip/Cleft palate

200
Pedialyte, Infalyte are examples of
What are: Oral rehydrating solutions
200

diarrhea, hx of bowel loss/resection, poor hydration

What is short bowel syndrome

300
Currant jelly stools
What is Intussusception
300

Fluid replacement for mild, moderate, and severe

mild - oral, moderate - oral/IV, severe - IV

300

stool holding or soiling at inappropriate times

Encopresis

300
Rapid respirations are a possible cause of dehydration because
Rapid respiration cause increased insensible fluid loss. p. 661
300

sensitivity to milk, milk products, cheese, or yogurt

What is lactose intolerance

400
Ribbon-like stools
What is Hirschsprung's Disease, megacolon
400
Severe isotonic dehydration leads to
What is Shock
400
N-acetylcysteine
What is the antidote for acetaminophen poisoning.
400
Define constipation (no partial credit)
What is hard, dry fecal matter... Fewer than 7 bowel movements in a 2-week period
400

Symptoms include persistent failure to eat, no weight gain/or weight loss, small size, irritable, possible developmental delays

What is Failure to Thrive

500

Bulk froth-like stools

What is Celiac disease

500

Maintenance IV fluid formula

0-10kg = 4ml/kg/hr

11-20kg = add on 2 ml/hr

>20kg = add on 1 ml/hr

500

Common diagnostic tests include CT, elevated WBC, elevated CRP

What is appendicitis

500

What is difference between acute sudden diarrhea and chronic diarrhea

What is acute is caused by inflammation, infection, or medication reaction. Chronic lasts more than 2 weeks r/t malabsorption problem, or long term inflammatory disease

500
Wheat, oats, barley, rice...which of these can the child with celiac disease incorporate in their diet
What is Rice