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24 Cards in this Set
- Front
- Back
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What causes lactose intolerance?
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a deficiency in the enzyme lactase
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Which ethnicities are more prone to intolerance?
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Asian, American Indians, African Americans, Jews, southern Europeans
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What are the s/s of lactose intolerance?
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Post-prandial diarrhea, gassiness, bloating, abd pain
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What test is oredered to detect lactose intolerance? This test is testing ? levels in the breath, which increase as the lactose levels build up in the intestines.
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Lactose tolerance test.
It test hydrogen levels in the breath |
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How can lactose intolerance be managed?
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Avoid Dairy products that cause problems.
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What are nutritional concerns for children with lactose intolerance?
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decreased calcium,
eggs, green leafy veggies, calcium supplements |
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Which food are a good source of calcium and can be recommended to chldren with lactose intolerance?
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Hard cheese, Yougurt,
eggs, green leafy veggies, calcium supplements |
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Following a lactose-free diet, when can yougurt, hard cheeses and a small amount of milk be added back into the diet?
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Once symptoms have subsided, then reintroduce these foods and assess for tolerance.
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When does cleft lip occur in uterine life?
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5th-6th week
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When does cleft palate occur in uterine life?
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7th-9th week
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What multifactorial causes are related to clefting?
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Genetics, environmental factors e.g. tobacco use by mom, advanced age, anticonvulsants, steroids,
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How are cleft lip and cleft palate dx? If it is a hidden cleft palate, what may be the first sign?
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by visual inspection, and by US inutero,
milk coming out of the baby's nose |
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When an infant is born with a craniofacial anommaly, how can the nurse provide family support and promote parent- infant bonding?
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Show pics of before and after surgeries,
focus on the positive attributes of the baby |
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Infants with cleft palate are generally fitted with a removable orthopedic device called a ? device to facilitate closure of the palate. This device serves as a feeding plate. Special bottles with nipples called ? feeders or Mead ? cleft feeder are also used to facilitate feedings. Explain teaching care for the feeding plate, tx of thrush, and precautions with compressible squeeze bottle.
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latham,
Thrush- use Nystatin oral suspension swabbed into the mouth, Don't apply pressure to the sides this may increase amt of milk going into baby's mouth. |
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When is surgical repair generally performed for - Cleft lip? What are the rules of 10 that guide repair time?
Cleft palate? Scar revision? |
Cleft lip- 2-3 months,
Rules- 10 months, 10 lbs, 10Hgb, Cleft palate- around 1yr old before speech develops, Scar revision- 4-5yrs old |
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Therapeutic management of cleftlip/palate involves a multidisciplinary team! Name some?
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Surgeons, Nurses, audiologist, plastic surgeon, etc...
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What are concurrent problems that occur with ongoing therapy?
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Altered dentition, recurring Otitis media, speech dysfunction, emotional issues, etc...
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RED: How should an infant be postitoned post-op to protect the surgical site after cleft lip/palate repair?
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supine/upright, side lying
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RED: Why should crying be preveneted post-op cleft lip/palate repair?
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To prevent opening of the surgical site/damage
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RED: What teaching is given to parents about the use of "NO-NO" restraints?
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Remove Q 2hrs for 10-15 minutes, one at a time.
assess for skin irritation, encourage arm movements |
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RED: Why is cleansing the repair site important? How should the site be cleansed after cleft lip/palate repair?
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to prevent infection,
apply Normal Saline without excessive rubbing Q shift, Cleft lip can have petroleum jelly applied as a protectant. |
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Why should nothing be put in the mouth for 2-4 weeks after cleft palate surgery?
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to avoid damaging the repair
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How may feeding be accomplished after cleft palate repair ?
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use a Breck feeder -a tube and syringe that extends past the repair in the mouth
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When would you advise the parents to brush the teeth after cleft lip/palate repair?
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1-2 weeks
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