GI Disorders NU102
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| 6 things to consider when client has GI 'itis' | Third spacing, infection, fluid problem, inflammation, rupture (peritonitis) & low residue diet
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| What is gastroenteritis? | Inflammation of mucus membrane of GI tract causing frequent diarrhea & vomiting
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| 5 causes of gastroenteritis | Intestinal infection (bacteria, virus or fungus), food sensitivity, food intolerance, meds, surgical alteration (short bowel syndrome)
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| 6 Signs major signs of gastroenteritis | D, N, V, ab cramps, distention & irritability
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| 3 bacteria causing gastroenteritis | E.coli, salmonella & shigella
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| 2 viruses causing gastroenteritis | Rotavirus & enteric adenovirus
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| 7 Treatment of gastroenteritis | Assess dehydration, vitals, daily weights, strict I&O, bowel rest, fluid replacement HYPOTONIC IV ( K+ may be added) , assess renal function
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| PEDS fluid & nutrition for gastroenteritis | ORT: 1-3 tsp q 10-15 mins ready to feed oral replacement solution
Infant=1oz/hr, toddler=2oz/hr & children = 3oz/hr
AVOID SIMPLE SUGARS eg. Soda, fruit juice (dilute to half if ORS unavailable )
AVOID COWS MILK
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| How many cc are there in 1 oz? | 1 oz = 30 cc
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| Target of first 2-4 hrs of ORT for PEDS | 50ml/kg
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| What meds are contraindicated for child with gastroenteritis | Antiemetics & antidiarrheal meds
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| Skin care for child with gastroenteritis | Frequent diaper change, wash butt, NO WIPES, apply barrier cream & tepid tub bath
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| Low residue diet consists of | Low fiber foods & good proteins eg. Yoghurt
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| What part of GI tract is primarily affected by gastroenteritis | Small bowel
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