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22 Cards in this Set
- Front
- Back
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Clinical manifestations of imperforate anus include, incomplete ? or abscence of ? in its normal position. A big sign is no ? within the first 24hrs.
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development,
anus, stool/pooping |
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RED/BOLDED: How does the mgt. of an anorectal malformation differ for low defects vs high defects: With low they may need to place a ?, create an ? opening, and then close the ? May need to teach parents how to do anal dilation, for which they can only use the ? supplied which is done in stages, use water soluble ? Insert 1-2 cm and ? gently.
HIgh: Requires more ?s, the baby will have a ? placed at birth and Perineal anoplasty and colostomy closure at ?-? months of age. |
fistula, anal, fistula,
dilator, lubricant,rotate, surgeries, colostomy, 9-12months |
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Describe Meckel's diverticulum: Small pouch off of the ? That is the result of a fetal failure remnant to ?
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ileum,
obliterate |
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RED/BOLDED: What are assessment findings for Meckel's Diverticulum: Painless rectal ?, abdominal ?, abdominal ? and ?
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bleeding(black, tarry stools),
distention, pain, tenderness, |
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Preoperative mgt of Meckel's is to administer ordered ? products, give ? fluids, Maintain ? status.
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blood,
IV, NPO |
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Post-op mgt of Meckel's is to keep pt in a ? postion, monitor for s/s of ? , bleeding, ? management, listen for ? sounds.
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Semi-fowler's,
infection, pain, bowel |
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What are signs of incarceration or strangulation of a hernia: irreducible ?, Changing ? sounds, tenderness and pain in the ? area.
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mass,
bowel, umbilical |
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What is an umbilical hernia: incomplete closure of the ? ring allowing intestinal contents to herniate through the opening.
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umbilical
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When does an umbilical hernia generally disappear? If the hernia doesn't close on its own it will require ?, at what age will surgery be performed?
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at 5yrs old,
surgery, 5yrs old |
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RED/BOLDED: What type of repair does an inguinal hernia require? What should parents be taught about pre and post-op care?
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Surgical,
pre-op: teach hernia reduction, post-op: teach to monitor for s/s of infection, dehiscences, pain, etc... |
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RED/BOLDED: What is meant by "Hypertrophic" Pyloric stenosis: The pylorus becomes hypertrophied causing ? in the luminel side of the pyloric canal, causing non-bilious ? between 2-4 wks of life.
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thickening,
vomiting |
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How many weeks after birth will nonbilious vomitiing occur?
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2-4 weeks
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RED/BOLDED: What are assessment findings for Pyloric Stenosis: ?-shaped mass in RUQ, visible ?, ? vomiting. Which acid-base disturbance do we expect ? Sodium, Potassium, and chloride are all ? and S/S of ?, extremely ? after feeding and vomiting.
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Olive, peristalsis,
projectile, Metabollic alkalosis, decreases, dehydration, hungry |
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Pre-op mgt of pyloric stenosis includes stabilizing ?/? status and postitioning pt to reduce risk of ? with HOB ?
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F/E,
aspiration, elevated |
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Post-op mgt of pyloric stenosis: The pt must follow a pyloric ? for feeding, he should expect to ? initially, and can be advanced to a full ? before discharge, monitor the surgical ? Don't remove steri-strips let them ? off on their own.
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regime,
vomit, diet, site, fall |
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RED/BOLDED: With itussesception, What does invagination of the distal bowel result in: blood vessels get ? between layers, and blood flow ?s, strangulation of the ? can occur, then we have to watch out for ?, ?, ?
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trapped,
decreases, bowel, ganrene, sepsis, shock. |
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RED/BOLDED: What is a cardinal sign of Intussesception?
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Sausage shaped mass in the abdomen.
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RED/BOLDED: Why is intussesception considered a pediatric emergency?
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it can cause death
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What age group is most at risk for intussusception?
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healthy infants younger than 1yrs old
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RED/BOLDED: What are assessment finding with intussesception: Intermittent pain that occurs with waves of ? Legs will be drawn up to ? when in pain, Pain can become ?, we will see ? jelly stool, and a ? shaped abdominal mass in the abdomen.
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peristalsis,
abdomen, constant, current, sausage |
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How is intussesception dx and what is the definitive dx?
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Palpated sausage shaped mass in RUQ,
Barrium or Air enema |
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RED/BOLDED: Management of intussesception includes: Hydrostatic reduction via a ? enema, What should parents be taught post procedure ? What is indicated if enema fails to reduce the intussesception ?
What does the presence of bilious vomiting indicate? If the surgery is scheduled and the pt passes stool what should the nurse do? |
barrium,
It can reoccur, surgery, call the surgeon and cancell the sugery |
