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PEDS GI
| Question | Answer |
|---|---|
| cHILD'S EXTRA CELLULAR COMPONENTS THAT ARE LOST EASIER COMPARED TO ADULTS ARE _______& ___________ | NA AND WATER |
| MORE FLUIDS ARE LOST THUR THE _________ THAN THE __________ ON CHILDERN | SKIN KIDNEYS |
| INFANTS HAVE THE INABILITY TO CONSERVE WATER BECAUSE OF ______________ | IMMATURE KIDNEYS |
| WHAT DISTURBANCE IN THE GI SYSTEM WILL YOU OFTEN SEE | VOMITING & DIARRHEA |
| EXCESSIVE LOSS OF BODY WATER - FLUID VOLUME DEFICIT = | DEHYDRATION |
| DEHYDRATION CAN BE _______,________,________ | MILD, MODERATE OR SEVERE |
| WEIGHT LOSS OF _______-_________%CAN HELP IDENTIFY SEVERITY OF DEHYDRATION | 5-15 |
| A CHILD WITH DEHYDRATION THE NURSE WILL ASSESS WHAT 4 THINGS TO THE SKIN | SKIN TURGOR DECREASED , SKIN COLOR PALE, SKIN TEMP COOL, MUCOUS MEMB DRY, |
| A CHILD WITH DEHYRATION THE NURSE WILL ASSESS WHAT FOR KIDNEY FUNCTION | URINE OUT PUT AND BUN/SPEC GRAVITY WILL BE INCREASED |
| NAME 3 THINGS THAT YOU WILL ASSESS ON A SMALL CHILD OR INFANT WITH DEHYDRATIONQ | SUNKEN FONTANEL, DECREASED TEARS, INCREASE PULSE |
| WHAT FOUR THINGS DO WE ASSESS ON A CHILD FOR HYPOVOLEMIC SHOCK | RAPID, WEAK PULSE, DECREASED B/P, CHANGES IN LOC |
| WHAT NURSING CARE WOULD BE DONE ON A CHILD WITH DEHYDRATION | ASSESS HYDRATION STATUS FREQASSESS VITAL SIGNSMONITOR I & OADMINISTER FLUIDS ORAL OR IV |
| WHAT MUST YOU DO BEFORE GIVING POTASSIUM IN IVFs | MAKE SURE THE KIDNEYS ARE PRODUCING URINE |
| WHAT LABS ARE YOU ASSESSING A CHILD WITH DEHYDRATION | SERUM PH STUDIESELECTROLYTE STUDIES BMP CMPHCT LEVELSBUN LEVELSURNE SPECIFIC GRAVITY |
| WHEN A CHILD IS VOMITING WHAT ELECTROLYTE IMBALANCES CAN OCCUR | NACL HCL |
| WHEN A CHILD IS VOMITING THE PH SHIFT IS ___________ | ALKALOSIS |
| WHAT 3 THINGS CAN BE THE CAUSE OF VOMIITNG IN A CHILD/INFANT | ILLNESS,IICP,FORMUAL INTOLERANCE |
| WHEN A CHILD HAS DIARRHEA WHAT ELECTROLYTE IMBALANCES CAN OCCUR | SODIUM BICARBONATE |
| WHEN A CHILD HAS DIARRHEA THE PH SHIFT IS _____________ | ACIDOSIS |
| WHAT MEDICATIONS CAN BE GIVEN TO A CHILD WITH VOMITING | PHENERGAN TIGAN |
| WHAT IS THE NURSING CARE FOR A CHILD VOMITING AND WANTS A DRINK | HOLD OFF ON PO INTAKE FOR 1 HOUR AFTER LAST VOMITING ESPISODE,OFFER ELECTROLYE ENRICHED DRINK 1-2 OZ AT A TIME AS TOLERATED CAN REPEART EVERY 30 MIN AS LONG AS TOLERATED |
| DIARRHEA IS CAUSED BY WHAT INFECTIONS | BACTERIAL OR VIRAL |
| WHAT 4 CAUSES CAN CONTRIBUTE TO DIARRHEA | INFECTIONS,MALABSORPTION PROBLEMS,INFLAMMATION DISEASES OR DIETARY FACTORS |
| WHAT THE NURSING CARE FOR DIARRHEA | BRATY DIET,IVFs if needed, ADMINISTER ABX ,COLLECT STOOL FOR CULTURE |
| WHAT IS THE NO NO WITH DIARRHEA | NO RECTAL TEMP |
| WHEN VOMITING/DIARRHEA FLUIDS AND FOODS TO AVOID ARE | HI NA, HI SUGAR, NO JUICES,CAFFEINATED,CARBONATED,MILK,BUTTER, |
| WHAT ACTIONS DOES NA HAVE ON GI SYSTEM WHEN VOMITING/DIARRHEA OCCURS | PULLS FLUID INTO BOWEL |
| WHAT ACTIONS DOES SUGAR HAVE ON GI SYSTEM WHEN VOMTING/DIARRHEA OCCURS | IRRITATES BOWEL LINING |
| WHAT ACTIONS DOES CAFFEINATED DRINKS HAVE ON THE GI SYSTEM WHEN VOMITING/DIARRHEA OCCURS | IRRITATES BOWEL LINING |
| WHAT ACTIONS DOES MILK/BUTTER HAVE ON THE GI SYTEM WHEN VOMITING/DIARRHEA OCCURS | IRRITATES BOWEL LINING AND CURDLES |
| WHAT IS TRACHEOESOPHOGEAL FISTUAL (TEF) | CONGENITAL ANOMALY IN WHICH THE TRACHEA & ESOPHOGUS ARE CONNECTED OR FAIL TO SEPARETE PROPERLY |
| WHAT DOES THE NURSE ASSESS TO FIND (TEF) | OCCURS WITH FIRST FEEDING, COUGHING,CHOKING, CYANOSIS, ABD DISTENTION,INCREASED SALIVATION,INCREASED RR, EFFORT, ABNORMAL BREATH SOUNDS |
| WHAT IS THE MEDICAL TREATMENT FOR (TEF) | EMERGENCY SURGERY GASTROSTOMY TUBE |
| WHAT IS THE NURSING CARE FOR A INFANT WITH (TEF) | INFANT NPO,SUCTION OF AIRWAY, HOB 30 DEGREES, MONITOR RESP STATUS, PROVIDE 02 |
| WHAT IS IMPERFORATE ANUS | THE LOWER END OF GI TRACT AND ANUS CONGENITALLY MALFORMED |
| NURSING ASSESSMENT FOR IMPERFORATE ANUS | ANAL DIMPLE, FIALURE FOR NB TO PASS MECONIUM STOOL, APPEARING FROM FISTULA OR IN URINE |
| MEDICAL TREATMENT FOR IMPERFORATED ANUS | INITIALLY TEMPORARY COLOSTOMY,SUBSEQUENT SURGERY CAN REESTABLISH PATENCY OF ANAL CANAL |
| WHAT ARE PRE-OP NURSING CARE FOR INFANT WITH IMPERFORATED ANUS | ASSESS FOR MECONIUM, IVFs, NPO,MONITOR I&O |
| WAT IS POST-OP NURSING CARE FOR IMPERFORATED ANUS | KEEP CLEAN, ASSESS FOR REEDA, ROVIDE COLOSTOMY CARE |
| WHAT IS PYLORIC STENOSIS | NARROWING OF THE PYLORIC SPHINCTER AT LOWER END OF STOMACHPYLORIC MUSCLE GRADUALLY ENLARGES AND PREVENTS STOMACH FROM EMPTYING PROPERLYMAY LEAD TO OBSTRUCTION |
| PYLORIC STENOSIS INCIDENCE | 2-3 WEEKS, GENETIC TENDENCY,OCCURS MORE OFTEN IN MALES |
| WHAT ARE THE NURSING ASSESSMENTS FOR PYLORIC STENOSIS | WT LOSS, OLIVE SIZED MASS FOUND IN URQ OF ABD, PERISTALTIC WAVES , EXCESSIVE HUNGER,SS OF DEHYRATION ; SUNKEN FONTANEL,DECREASED URINE OUTPUT,POOR SKIN TURGORMETABOLIC ALKALOSIS, LOSS OF NA AND +K |
| PRE-OP FOR PYLORMYOTOMY | UPPER GI RESULTS,ASSESS FOR DEHYDRATION,IVFs, MONITOR I&0, DAILY WT |
| POST-OP FOR PYLORMYOTOMY | FEEDINGS GLUCOSE/ELECTROLYTES WITHIN 4 HOURS OF SURGERY GRADUAL INCREASE TO FULL STRENGTH , PLACE INFANT ON RT SIDE SLIGHTLY ,SEMI FLWLER TO AID GRAVITY |
| WHAT IS CELIAC DISEASE | DISEASE OF SMALL INTESTINE, UNABLE TO TOLERATE FOODS WITH GLUTEN OR PROTEIN |
| CELIAC DISEASE LEADS TO ______________ PROBLEMS | MALABSORPTION |
| WHAT AGE DOES CELIAC DISEASE 1ST APPEAR | 6M-2 YEARS |
| WHAT LABS ARE DONE WHEN DX CELIAC DISEASE | SERUM IGA, SMALL BOWEL BIOPSY,SWEAT CHLORIDE TEST TO RULE OUT CF |
| WHAT ASSESSMENTS WILL THE NURSE DO ON THE CHILD WITH CELIAC DISEASE | ABD/DISTENTION BUTTOCKS/WASTING STEATORRHEAINABILITY TO ABSORB NUTRIENTS SECONDARY EFFECTS VIT DEFICEIENCIES,EXCESSIVE BLEEDING DUE TO DECREASED VIT K |
| WHAT IS THE NURSING CARE FOR A CHILD WITH CELIAC DISEASE | DIET: RESTRICT BROW VIT SUPORTSTEROID THEAPY, TPN IS SEVERELY MALNOURISHED CHECK FOR CHVOSTEK'S SIGN |
| WHAT IS HIRSCHSPRUNG'S DISEASE | CONGENTIAL ABSENCE OF GANGLIONIC NERVE CELLSSIGMOID PORTION OF THE BOWEL CAUSING LACK OF NORMAL PERISTALSIS |
| WHAT ARE THE CAUSES OF HIRSCHSPRUNG'S DISEASE | UNKNOWN |
| WHAT ARE THE NURSING ASSESSMENTS FOR HIRSCHSPRUNG'S DISEASE | NO MEC STOOL FOR 1ST 24 HOURS, RIBBON LIKE STOOLS,CHRONIC CONSTIPATION,DISTENTED ABD, BOWEL SOUNDS NONE IN AFFECTED PORTION OF BOWEL |
| WHAT IS MEDICAL TREATMENT FOR HIRSCHSPRUNG | RESTORATION OF PERISTALIS TEMPORARY COLOSTOMY RESCETION ANASTOMOSIS |
| WHAT IS THE MONITOR DIAGNOSTIC TEST FOR HIRSCHSPRUNG | BARIUM ENEMA, RECTAL BIOPSY |
| WHAT IS THE PRE-OP NURSING CARE FOR A CHILD WITH HIRSCHSPRUNG | LOW FIBER DIET, LAXATIVES,ENEMAS,FEEDING ARE PARENTERAL,IVFs,OBSERVE FOR BOWEL PERFORATION |
| WHAT ARE THE POST-OP NURSING CARE FOR HIRSCHSPRUNG | MONITOR V/S,IVFs,MONTIOR I &O, CARE OF NG TUBE, ASSESS SITE AND DRSG,ASSESS BOWEL SOUNDS |
| WHAT IS INTUSSUSCEPTION | TELESCOPING OR INVAGINATION OF BOWEL INTO ITSELF |
| MOST COMMONLY SEEN AT THE ____________ VALVE WHERE THE ______________ INTO THE ____________ | ILEOCECAL SMALL INTESTINE ASCENDING COLON |
| WHEN ASSESSING A CHILD WITH INTUSSUSCEPTION THE STOOLS WILL BE LIKE _____________. A _______________ WILL BE FOUND IN THE RUQ OF THE ____________ | CURRANT JELLY ; SAUSAGE SHAPED MASS ABDOMEN |
| WITH INTUSSUSCEPTION THE NURSE MIGHT FIND THE CHILD VOMITING _______________. THE ABDOMEN WILL BE _____________WITH ACUTE _______________ ABD PAIN | GREEN YELLOW BILE; RIGID ; INTERMITTENT |
| THE NURSE WILL MONITOR FOR COMPLICATIONS OF __________________& ________________,WHICH THE SYM ARE ________,____________,___________. | BOWEL PERFORATION, SHOCKINCREASED PULSEINCREASED RESPDECREASED B/P |
| THE NURSING CARE FOR THE NURSE WILL BE TO MONITOR __________ AND ADMINISTER ___________ | I & O ; IVFs |
| NAME THE 3 TYPES OF HERNIAS | REDUCIBLE,INCARCERATED, STRANGULATED |
| WHAT IS A REDUCIBLE HERNIA | A HERNIA THAT CAN BE PUT BACK INTO PLACE MANUALLY BY USING GENTLE PRESSURE |
| WHAT IS A INCARCERATED HERNIA | NOT REDUCIBLE OR CANNOT BE PUT BACK INTO PLACE MANUALLY |
| WHAT IS A STRANGULATED HERNIA | SS; VOMITING,IRRITABILITY, PAIN, DISCOLORATIONCALL DR STAT |
| WHAT IS COLIC | AN OTHERWISE HEALTHY WELL FED BABY INCONSOLABLE CRYING FOR MORE THAN 3 HOURS A DAY; MORE THAN 3 DAYS A WK; MORE THAN 3 WEEKS |
| WHEN DOES COLIC START | A FEW WEEKS AFTER BIRTH |
| WHAT IS THE CAUSE OF COLIC | UNKNOWN |
| MEDICATIONS THAT CAN BE GIVEN FOR COLIC | ANTIFLATULENTS, GRIPE WATER, SEDATIVES, ANTISPASMODICS |
| TIPS FOR TEACHING FOR COLIC | WALK,ROCK,WING,CAR RIDE,BURP FREQ,SIT UP AFTER FEEDING ,GIVE PACIFIER ,WARM BATH AND ABD MASSAGES,WHITE NOISE AND PLAY RELAXATION TAPES |
| WHAT IS APPENDICITIS | INFLAMMATION OF THE APPENDIX DUE TO OBSTRUCTION/BACTERIA AND PARASITES |
| WHAT CAN APPENDICITIS LEAD TO _________ & __________ | PERFORATION PERITONITIS |
| WHAT DOES THE NURSE ASSESS WITH A APPENDIX PATIENT | MCBURNEY POINT, N/V, PERIUMBILICAL PAIN LOCALIZING TO ABD TENDERNESS IN RLQ |
| WHAT TESTS ARE DONE TO DX APPENDICITIS | CT, WBC, US, STOOL CULTURE |
| WHAT POST OP CARE IS GIVEN TO A PATIENT WITH APPENDICITIS | ABX,IVFs,NPO,ANALGESICS,MONITOR I&O,BOWEL SOUNDS,CARE FOR DRAINS,REEDA, |
Created by:
SFREDERICK