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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