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30 Cards in this Set
- Front
- Back
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What is esophageal atresia and tracheoesophageal fistula?
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failure of the esophagus to develop as a continuous tube
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What are 3 anomalies that often show up in pt w/ tracheoesophageal fistula or esophageal atresia?
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anomalies of:
1. heart 2. GU 3. MS |
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S&S of a pt w/ esophageal atresia/tracheoesophageal fistula? (4)
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1. excessive saliva, drooling
2. stomach distension 3. choking, coughing, sneezing 4. cyanosis |
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What is the plan for a pt w/ esophageal atresia/tracheoesophageal fistula?
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surgical repair
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pre-op considerations for a pt w/ esophageal atresia/tracheoesophageal fistula? (3)
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1. position: supine or prone, w/ HOB 30 degrees
2. IVF & antibiotics through UMBILICAL ARTERY CATHETER 3. maintain patent airway |
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post-op considerations for a pt w/ esophageal atresia/tracheoesophageal fistula? (3)
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1. care for incision site
2. prevent pulmonary complications (suction & position) 3. IV fluids and antibiotics |
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Diet of a pt s/p surgery for esophageal atresia/tracheoesophageal fistula?
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TPN until gastrostomy or oral feedings tolerated
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What is Chron's dz (aka regional enteritis, ileitis, enterocolits)? most common location?
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chron's dz:
inflammatory condition of any area of large or small intestine *usually ileum and ascending colon |
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What is ulcerative colitis?
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inflammatory condition of the colon characterized by eroded areas of the mucous membrane and tissues beneath it
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Age of onset for crohn's disease vs UC?
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Age of onset:
Crohn's: 20-30 & 50-80 UC: young adult to middle age 30-50 |
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What is steatorrhea?
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fatty stool
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What is the likelihood of steatorrhea in Crohn's dz vs UC?
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steatorrhea:
Crohn's: frequent UC: rare |
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What is the malignancy association rate w/ Chron's dz vs UC?
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Malignancy:
Crohn's disease: rare UC: 10-15% |
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How common is rectal bleeding in crohn's disease vs UC?
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rectal bleeding:
Crohn's: occasional (mucus, pus, FAT in stool) UC: common (mucus, pus BLOOD in stool) |
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When does one experience abdominal pain in Chron's dz vs UC?
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Abdominal pain:
Crohn's: after meals UC: predefecation |
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How common is diarrhea in Chron's dz vs UC?
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Diarrhea:
Crohn's: RARE, 5-6 unformed stools/day UC: 10-20 LIQUID stools/day, often BLOODY |
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What are 3 common nutrition-related deficits that are noted in BOTH chron's dz and UC?
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BOTH crohn's and UC:
1. weight loss 2. anemia 3. dehydration |
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For BOTH Crohn's dz and UC, describe a common temperature abnormality
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fever!
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Which complication is common in the anal region for BOTH crohn's dz and UC?
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anal abscess
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In relation to fistula and anorectal fissure fistula, in which disease is this complication more common?
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fistula and anorectal fissure fistula:
COMMON in CROHN'S |
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Which intestinal areas are most commonly involved in CHRON'S DZ? Level of inflammatory involvement?
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Crohn's dz:
ILEUM, RIGHT COLON NONCONTINUOUS segment of inflammation |
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Which intestinal areas are most commonly involved in UC? Level of inflammatory involvement?
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UC:
RECTUM, LEFT COLON CONTINUOUS segment of inflmamation |
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Describe the course of crohn's dz
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prolonged (crohn's)
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Describe the course of UC
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UC: periods of remissions & relapses
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Complications a/w Crohn's dz? (3)
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1. bowel abscess
2. fistula formation 3. intestinal obstruction |
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Complications a/w UC? (4)
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1. hemorrhage
2. abscess formation 3. arthritis 4. uveitis |
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Describe the diet of a pt w/ Crohn's or UC.
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HIGH PROTEIN
HIGH CALORIE Low FAT Low FIBER *may require TPN to rest bowel |
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Which meds are commonly rx for pt w/ crohn's or UC?
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1. analgesics
2. anticholinergics 3. antibiotics 4. corticosteroids (reduce inflam) 5. immune modulators 6. salicylate-containing cmpds |
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Goals fo rpt w/ crohn's and UC?
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1. maintain F&E balance
2. promote rest 3. relieve anxiety |
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If a pt has severe crohns or UC, what might they require?
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an ileostomy
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