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21 Cards in this Set
- Front
- Back
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tracheoesophageal fistula signs and symptoms
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choking
coughing difficulty feeding with cyanosis abdominal distention pneumonia excessive oral secretions (drooling) |
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etiology and diagnosis of tracheoesophageal fistula
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first defect in 1st trimester
X-ray |
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treatment of tracheoesophageal fistula
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surgical correction
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preoperative care of tracheoesophageal fistula
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Do Not Feed
elevate HOB suction mouth and pharynx IV fluids and/or parenteral nutrition may need gastrostomy to empty air thermoregulation ligation and anastomosis (seperate and bring together) |
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Post op care of tracheoesophageal fistula
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thermoregulation
pareteral nutrition wound care risk of GERD is 50% dilation of esophageal strictures |
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Cleft lip and cleft palate
and cause |
incomplete fusion of embryonic structures
lip fused by 8 weeks, palate fused by 12 weeks multifactorial inheritance environmental factors- dylantin |
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diagnosis and treatment of cleft lip
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important to check all palates in NB assessment
surgical correction of lip at 10 weeks surgical correction of palate: 18 months Dental care, speech, ear problems |
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Nursing care of cleft palate
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feeding
postop care-cleft lip longterm guidance |
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Congenital aganglionic megacolon or Hirschsprung's disease
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nerve cells (ganglion) that innervate the colon do not develop
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manifestations of hirschsprungs in infant
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delayed meconium, not in 1st 24 hours
vomitting, refusal to eat abdominal distention palpable mass |
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manifestations of hirshsprungs in toddlers
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decrease weight gain
episodes of vomitting and diarrhea constipation, palpable mass, inflammation |
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Diagnosis of hirshsprings
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x-ray
barium enema rectal biopsy anorectal manometry |
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therapeutic management of hirschsprings
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surgery to remove portion of colon
temporary colostomy |
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Pre-op care of colon surgery
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enemas
increase calories TPN Systemic antibiotics antibiotic irragations measure girth to compare with afterwards |
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Post op care of colon surgery
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NG tube- watch K while suctioning
foley cath iv fluids wound care resp care colostomy enterocolitis-most common complication |
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Wilm's tumor or nephrolastoma
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tumor grows in kidneys
most common intra-abdominal tumor |
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manifestations of wilm's tumor
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swelling of abdomen
abdominal mass hematuria anemia hypertension |
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diagnosis of wilm's tumor
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us, ct, mri, hematological studies
staging of tumor |
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staging of wilms tumor
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stage 1: limited to kidney and completely resected
stage 4: metasteses to other organs |
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Nursing considerations for wilms tumor
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surgery done quickly after dx
do not palpate abdomen postop care family support |
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therapeutic management of wilms tumor
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surgical removal
chemotherapy radiation therapy |
