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Ped Unit 7 info
| Question | Answer |
|---|---|
| Acute Sudden Diarrhea | caused by inflammation, infection, or response to food/ meds |
| Chronic Diarrhea | lasts >14days caused by malabsorption syndrome, food allergy, infamm bowel disease |
| Severe dehydration leads to | shock and renal impairment |
| Diarrheal disturbances can cause | dehydration when output exceeds intake |
| Rotavirus | cause of severe gastroenteritis in children 3mo-2yr. Common cause diarrhea in winter |
| Foods to avoid (dehydration) | fruit juice, carbonated soda, gelatin, caffeine, chicken/ beef broth |
| Stay away from BRAT diet | Banana, Rice, Applesauce, Toast (Low nutrition/ electrolyte, High carbs) |
| Vomiting | forceful ejection of gastric contents through the mouth |
| Vomit is never normal in | neonate |
| Over Hydration | IV fluid to rapid w/ normal kidney function. Edema seen in eyes first (infants) |
| GERD is | tissue damage from GER + may be assoc w/ resp symptoms, apnea, pneumonia |
| Pyloric stenosis | narrowing or thickening (hypertrophic) lower end of stomach so food is blocked and does not empty properly into duodenum |
| Vomiting becomes what after a feeding or several hrs after for PS | projectile vomit as the condition progresses |
| PS requires what type of treatment | Surgical. Pyloromyotomy or Ramstedt |
| PS prep child NPO and NG tube b4 surgery but | NG will not be placed post surgery |
| Hirshsprung's disease | absence of ganglionic innervention to muscle del bowel. Decrease motility |
| Hirshsprung's disease is found | first few months of life. failur to pass meconium first 24-48hr |
| All children require____. Repaired part of colon is....? | Surgery. removed + anastomosis del intestines performed |
| S/S of Enterocolitis | abd swell, V/D, fever, lethargy |
| Intusseption is one of the most frequent causes of.... | intestinal obstruction in kids (3mo-6yr) EMERGENCY tx w/24hr |
| Intusseption has what type stools | red currant jelly (blood/ mucus leak in2 intestines) |
| Appendicitis pain begins at umbilicus but | localized to RLQ (McBerneys PT) |
| What do you avoid for Appendicitis | laxatives and enemas |
| Meckel's Diverticulum is the most common | congenital malformation del GI tract |
| Meckel's Diverticulum S/S | painless rectal bleed, abd pain, bloody, mucus stool. CT/US for dx |
| Inguinal/ Umbilicul hernia is | protrusion through an abnormal opening |
| Incarcerated hernia | hernia that cannot be reduced |
| strangulated hernia | blood supply to hernia is impaired |
| Umbilical Hernia | appears soft swelling covered by skin and may protrude as baby cries |
| cleft lip surgery called | cheiloplasty (2-3mo old) |
| cleft palate is repaired when for 1st surgery | 6-12mo. Repair roof mouth so child learn 2 eat/talk normally |
| What do you apply post surgery for Cleft Lip repair | elbow restraints to keep the infant from injuring the repair site |
| Pinworms are found | in the soil |
| Pinworms cause intense itching from | movement on skin and mucus membranes |
| Roundworms are found when a child has | chronic cough w/ fever |
| Acetaminophen poisoning s/s 2-4hr | N/V, sweat and pallor |
| Acetaminophen poisoning s/s 24-36hr | improvement in condition |
| Acetaminophen poisoning s/s 36h-7d | hepatic state , Pain URQ, confusion, jaundice, coagulation disturbance |
| Acetaminophen poisoning s/s final stage | Death or gradual recovery |
| Nephrotic syndrome restricts what in acute phase | salt |
| steroids mask what | s/s of infection and must be monitored for it |
| Wilms Tumor- what signs placed on door | Do not palpate Abd |
| Wilms Tumor is | nephroblastoma, common. dx<5yr |
| Skin infections may be | bacterial, viral, or fungal |
| If infant has recurrent impetigo | the caregiver may be carrier for S. aureaus |
| Pediculosis capitus | head lice |
| pediculosis corposis | body lice |
| what is the leading cause of accidental death in 1-4y olds | Burn injuries |
| Insulin pumps deliver | regular insulin |
| DM is | partial or complete deficency of insulin |
| Type 1 DM | total insulin deficiency - destruction of pancreatic beta cells |
| Type 2 DM | bdy fails to use insulin properly |
| Classic triad S/S for DM | Poly- dipsia, phagia, uria |
Created by:
bvjklolita2015
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