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CCAC NRN 102 (Ch 47)
CCAC NRN 102 Gastrointestinal Dysfunction CH47
| Question | Answer |
|---|---|
| Common body fluid disturbance in infants and children and occurs whenever the total output of fluid exceeds the total intake, regardless of cause. | Dehydration |
| What are three causes of dehydration? | Insensible losses through skin and respiratory tract, increased renal excretion, and GI tract. |
| What are the three types of dehydration? | Isotonic, Hypotonic, and Hypertonic. |
| If a 2 year old child has lost 6% of their body weight, what severity of dehydration do they have? | Moderate |
| A 9 month old infant weighing 9kg has lost 1000ml of fluid, determine the severity of the dehydration. | Moderate |
| Diarrhea is a symptom that results from disorders involving | digestive, absorptive, and secretory functions |
| Diarrheal disturbance that involves the stomach and intestines is termed | Gastroenteritis |
| A leading cause of illness in children younger than 5 years of age, defined as sudden increase in frequency and a change in consistency of stools | Acute diarrhea |
| Chronic diarrhea | an increase in stool frequency and increased water content with a duration of more than 14 days. |
| Most frequent viral cause of acute diarrhea in young children | Rotovirus |
| What are the most frequent bacterial causes of diarrhea in children? | Salmonella, Shigella, and Campylobacter |
| What are the major goals in the treatment of acute diarrhea? | 1, assessment of fluid and elecrtolyte imbalance, 2, rehydration, 3, maintenance fluid therapy, 4, reintroduction of adequate diet |
| Constipation is | an alteration in the frequency, consistency, or ease of passing stool. |
| Normally the newborn passes first meconium stool within | 24 to 36 hours |
| The initial manifestation of cyctic fibrosis | Meconium ileus |
| Forceful ejection of gastric contents through the mouth | vomiting |
| The transfer of gastric contents into the esophagus | Gastroesophageal reflux (GER) |
| Represents symptoms or tissue damage that results from GER | GERD gastroesophageal reflux disease |
| Repetitive stretching and arching of the head and neck in young children | Sandifer syndrome |
| Inflammation of the vermiform appendix | Appendicitis |
| Fever, vomiting, abdominal pain, and elevated WBC count | Symptoms associated with appendicitis but also seen with IBD |
| Where does the abdominal pain of appendicitis usually start? | Periumbilical |
| Where does the the pain become most intense? | McBurney point |
| Is Rebound tenderness a reliable sign of appendicitis? | No |