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21 Cards in this Set
- Front
- Back
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Pathophysiology of NEC involves the interplay of the following: Substrate feeding with infant formula more than ? feeding, ? invasion, low ?
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breast,
bacterial, oxygenation |
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RED/BOLDED: Based on the above Pathophysiology, what actions and orders are indicated for infants in respiratory distress and receiveing feedings: ? for any infant experiencing respiratory distress. With a bolus tube feeding we should hold it if residual is more than ? the amount of the feeding.
With continuous tube feedings we should hold it if residual is greater than ? hrs worth of feeding. |
NPO/stop the feeding,
1/2, 2 |
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Why may breast milk and probiotics decrease the risk of NEC in neonates?
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they contain natural immunoglobins, leukocytes, and anti-bacterial agents that may help prevent NEC.
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Describe assessment findings for: VS ?, Bowel Sounds ?, Bowel Loops ?, Stool ?
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Don't know,
possible absence, palpable, bloody |
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RED/BOLDED: Why is close monitoring of NEC required ? What is the goal of management of NEC ?, Why should NPO status be ordered for NEC? What else will be ordered to preserve bowel intergrity and prevent/ treat infection?
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bowel perf can lead to death,
to save the bowel, to allow the bowel to relax and prevent perf, ABX, DC oral feeding, Intermittent suction, TPN |
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RED/BOLDED: What lab and diagnostic tests will be ordered for NEC ? Why is thermoregulation key ? how is it maintained ?
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CBC, Electrolytes, ABG's, Cultures, Pt, PTT,
to prevent hypothermia, radiant warmer |
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What is short bowel syndrome, and why is considered a malabsorptive disorded ?
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The bowel is removed during surgery and there isn't enough left to properly digest food.
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How is SBS managed?
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TPN,
predigested formula(pregestimil, lipil), Monitor for sepsis |
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RED/BOLD: What is the etiology of Celiac disease: it is an ? diseases that creates sensitivity to the protein ?
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autoimmune,
glaidin |
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RED/BOLD: What are assessment findings for Celiac Disease: ?, vomiting, abd ?, ? failure, anorexia, etc...
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diarhhea,
abd distention, growth failure, |
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RED/BOLDED: Diagnosis and mgt of Celiac disease: acceptable foods include ? free food such as ?,?,?
Food to avoid include foods that have ?,?,?,? in them. |
gluten free, corn, rice, millet
Wheat, Barley, Rye, Oats |
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RED/BOLDED: What is biliary atresia: obstruction of or abscence of the extrahepatic ? ducts that causes blocks normal bile flow from the liver to the gallbladder and intestines, which causes back up an ? failure.
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bile,
liver |
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RED/BOLDED: What are assessment finding with Biliary Atresia: ? stools that are light in color due to abscense of bile, ? colored urine due to presense of bile, and enlarged liver known as ?
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Acholic stools,
tea, hepatomegaly |
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What is the purpose of the Kasai procedure?
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to allow bile to drain into the intestines until a liver transplant can be performed
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RED/BOLDED: What is the nutritional support for Biliary Atresia: Pre digested ?, vitamins ?,?,?,? and ? oil along with other mineral supplements.
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formula(Pregestimil or Alimentum),
ADEK, MCT |
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RED/BOLDED: Why may Cholestyramine or phenobarbitol be ordered: They are ? acid binders, they aid in the excretion of bile salts, which helps to reduce ? (itchy skin)
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bile acid binders,
pruritis |
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RED/BOLDED: What is involved in the mgt of skin care with Biliary Atresia: ? acid binders, ? baths, try to prevent ? by wearing gloves during sleep, and use ? on the skin.
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Bile acid binders(cholestyramine),
oatmeal, scratching, lotions |
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Define organic failure to thrive(FTT): Congenital Mental or physical or a combination of impairments resulting in life long disability that decreases the childs ability to consume adequate ?
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Nutrition
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Give examples of how inorganic failure to thrive(FTT) may result ?
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neglect, abuse,
poor feedinng technique, behavioral problems, parental lack of knowledge |
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What are assessment findings for FTT ?
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poor growth,
developmental delays, etc... |
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How is FTT managed: have an appropriate ? schedule, weigh the child ?, keep trac of ?/?'s,
? the parents about how to take care of the child and what to expect. |
feeding,
daily, I/O's, Educate |
