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PEDS GI
| Question | Answer |
|---|---|
| ISOTONIC | loss of equal amt of water and electrolytes |
| HYPERTONIC | loss of more electrolytes than water |
| HYPOTONIC | loss of more water than electrolytes |
| ROME | RESPIRATORY OPPOSITE; METABOLIC EQUAL |
| pH level | 7.35-7.45 |
| PCO2 | 35-45 |
| PO2 | 80-100 |
| HCO3 (Bicarb) | 22-30 |
| MUCOMYST | Antidote for acetaminophen poisoning |
| Celiac disease | need glutton free diet; s/s large, bulky frothy stools |
| best way to determine baby is dehydrated | weigh diapers, sunken fontanelles, inelastic skin, decreased in urination, malnutrition |
| S/S OF PYLORIC STENOSIS | PROJECTILE VOMITING |
| S/S OF INTUSSUCEPTION | CURRANT JELLY STOOLS; TX: BARIUM ENEMA |
| S/S OF TRACHEOESOPHAGEAL FISTULA | at birth, infant will vomit and choke when the first feeding is introduced. |
| VITAMIN K & DIALYSIS | antidote for salicylate poisoning |
| S/S OF GASTROESOPHAGEAL REFLUX | vomiting, weight loss & failure to thrive. Vomitting occurs within the 1st and 2nd wk of life. Infant is fussy and hungry. Respiratory problems can occur when vomiting stimulates the closure of the epiglottis & the infant presents w apnea. |
| ESOPHAGEAL ATRESIA (TRACHEOSOPHAGEAL FISTULA) | caused by failure of the tissues of the Gi tract to separate properly from the resp tract early in prenatal life |
| PYLORIC STENOSIS | stenosis (narrowing) an obstruction at the lower end of the stomach caused by an overgrowth (hypertrophy) of the circular muscles of the pylorus or by spasms of the spinchter. |
| CELIAC DISEASE | the leading malabsorption problem in children. The cause is thought to be an inherited disposition w environmental triggers. |
| HIRSCHSPRUNG'S DISEASE (AGABGLIONIC MEGACOLON) | occurs when there is an absence of ganglionic innervation to the muscle of a segment of the bowel. |
| INTUSSUSCEPTION | slipping of one part of the intestine into another part just below it. |
| GASTROESOPHAGEAL REFLUX | results when the lowerr esophageal sphincter is relaxed or not competent, which allows stomach contents to be easily regurgitated into the esophagus. |