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CCC Pediatric Diarrhea

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Diarrhea   symptom that may result from digestive, absorptive, and secretory functions, caused by abnormal intestinal water and electrolyte transport  
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Number of child deaths resulting from diarrhea in developing countries   24%  
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GI disturbances involved in Diarrhea   Stomach and intestines (gastroenteritis); small intestine (enteritis); colon (colitis); colon and intestines (enterocolitis)  
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Two classifications of diarrhea   Acute diarrhea and chronic nonspecific diarrhea (CNSD)  
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Acute Diarrhea   sudden increase in frequency and a change in consistency of stools, often caused by infectious agents in GI tract, self-limited (<14 days), subsides without specific treatment. Treat for dehydration if it occurs  
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Chronic Nonspecific Diarrhea (CNSD)   irratible colon or childhood and toddler's diarrhea, common cause of diarrhea 6m - 54m, may be linked to dietary indiscretions, food sensitivities, excessive juice and artificial sugar intake  
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Acid Diarrhea   causes metabolic acidosis  
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Diagnosing Diarhhea history includes   recent travel, drinking untreated drinking water, contact wit animals or birds, daycare attendance, antibiotics, diet changes  
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Labs for diagnosing severe diarrhea   stool specimen, cultures, BUN, blood studies (CBCs)  
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Therapeutic management of diarrhea   assess fluid/electrolyte imbalance, rehydration, fluid therapy, adequate diet, BRATT, reintroduce fluids slowly to prevent cerebral hemmorhaging, do not give milk products, prevent with RotaTeq vaccine (2,4,6m)  
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Nursing Care Management of diarrhea   protect skin from irritating stools; prevent fecal-oral route, encourage handwashing  
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BRATT   banana, rice-cereal, applesauce, toast, tea  
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