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23 Cards in this Set
- Front
- Back
CLEFT LIP/PALATE
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A LONGITUDINAL OPENING/SPLIT IN UPPER LIP OR PALATE
MAY OCCUR ALONE OR MAY BE C.LIP&PALATE MORE COMMON IN ASIANS,NATIVE AMER.,&MALES |
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WHEN DOES C.LIP OCCUR
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7-8 WKS GESTATION
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WHEN DOES C.PALATE OCCUR
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7-12 WKS
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HOW IS DIAGNOSIS OF C.LIP/PALATE MADE?
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1.C.PALATE DETECTED BY EXAMINATION OF MOUTH W/ FINGER
-THE DEFECTS INVOLVE DENTAL ABN.-TOO MANY TEETH OR NOT ENOUGH TEETH |
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HOW IS C.LIP TREATED?
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CHEILOPALSTY (Z-PLASTY)
-REPAIRED 6-12 WKS OF AGE (10-15 LBS) -CHILD MUST BE INFECTION FREE -REPAIR 1ST SIDE THEN 2ND SIDE REPAIRED MOS LATER |
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HOW IS CLEFT PALATE TREATED?
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LONG TERM PROCESS
-PALATOPLASTY -REPAIRED 6-18 MOS (DONE BEOFRE CHILD DEV. SPEECH HABITS) -OTHER INVOLVEMENTS NEEDED:SOCIAL WORKER,SPEECH THERAPIST,AUDIOLOGY |
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EFFECTS OF CP AND CL
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1.PROB W/ FEEDING (INFANTS CHOKE,GAG,SWALLOW AIR)
2.RISK OF ASPIRATION 3.DIFFICULTY GAINING WT 4.SPEECH IMPAIRMENTS 5.EAR INFECTIONS(CAUSE SCARRING OF TYMPANIC MEMBRANE) 6.UPPER RESPIRATORY INFECTIONS |
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NURSING DIAGNOSES FOR CL AND CP
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1.ALTERED NUTRITION:LESS THAN
2.RISK FOR ALTERED PARENTING 3.RISK FOR TRAUMA TO SURGICAL SITE 4.PAIN |
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HOW SHOULD BABY WITH CL AND PALATE BE FED?
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-UPRIGHT POSITION
-BURP FREQUENTLY -USE HABERMAN FEEDER -CLEAN MOUTH & LIP AREA |
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AS NURSE:ENCOURAGE PARENTS TO__
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HOLD & FEED INFANT
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POST OP CARE FOR CLEFT LIP
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1.HOSPITALIZED FOR 1-2 DAYS
2.CHILD WEARS NO-NO'S (ELBOW RESTRAINT) 3.POSITIONED ON SIDE OR BACK 4.EXERCISE ARMS Q 1-2 HRS 5.PREVENT TENSION ON SUTURE LINE (CHILD WEARS LOGAN BAR FOR 1 WK) 6.PREVENT BABY FROM CRYING (GIVE ANALGESIA & HOLD) |
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POST OP CARE FOR CLEFT PALATE
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1.MAINTAIN AIRWAY-(POSITION ON ABDOMEN)
2.MIST TENT 3.NO-NO RESTRAINT FOR WKS 4.NO PACIFIER,NO STRAWS,NOTHING IN MOUTH 5.SOFT DIET WHEN D/C |
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WHAT IS BABY GIVEN FOR PAIN
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TYLENOL W/ CODEINE
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HOW IS BABY FED POST OP FOR CLEFT LIP
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STARTED W/ CLEAR LIQUIDS-->ADVANCED
PARENT CAN BREAST FEED,USE CUP,SYRINGE SUTURE LINE CLEANED W/ Q-TIP & SALINE |
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HOW IS BABY FED POST OP CLEFT PALATE
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FEEDING CAN BE BOTTLE,BREAST,CUP
CUP USED MOST-FOOD BLENDED DONT WANT TO PUT ANYTHING IN MOUTH (NO FORK OR SPOON) CHILD SHOULD BE FED BY PARENT |
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ESOPHAGEAL ATRESIA W/ TRACHEOESOPHAGEAL FISTULA (TEF)
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ATRESIA=CONGENITAL ABSENCE OR CLOSURE OF BODY OPENING
FISTULA=ABNORMAL PASSAGE |
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CAUSE OF ESOPHAGEAL ATRESIA W/ TEF:
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CAUSE IS UNKNOWN
OCCURS 4-5 WKS GESTATION (1 WK INTO PREGNANCY) |
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S/S OF ESOPHAGEAL ATRESIA W/ TEF
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1.DROOLING,EXCESSIVE SALIVATION
2.3 C'S-COUGHING,CHOKING,CYANOSIS 3.PERIODS OF APNEA DUE TO SECRETIONS 4.RESP. DISTRESS WHILE BEING FED 5.ABDOMINAL DISTENTION 6.RISK OF ASPIRATION |
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THERAPEUTIC MANAGEMENT OF ESOPHAGEAL ATRESIA W/ TEF:
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CHECK DIAGNOSIS W/ CATHETER DIRECTLY AFTER BIRTH
1ST-X RAY ---> BRONCHOSCOPY GOAL:MAINTAIN AIRWAY BABY NPO-->IMMEDIATELY IV FLUIDS & SUCTION POUCH PREVENT RESPIRATORY INJURY |
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SURGICAL REPAIR OF ESOPHAGEAL ATRESIA W/ TEF:
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1.THORANCOTOMY (MIDLINE CHEST INCISION)
2.TEMPORARY GASTRONOMY-TO PROVIDE A FEEDING ROUTE 3.CLOSE OFF/LIGATE FISTULAS 4.REPAIR OF ESOPHAGUS-END-TO-END ANASTAMOSIS 5.CERVICAL ESOPHAGOSTOMY |
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PRE-OP FOR EA & TEF
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1.1ST DETECT DEFECT
2.NPO 3.IV FLUIDS 4.POSITION-HEAD UP 30 DEGREES 5.SUCTION,HUMIDIFIED O2 6.BROAD SPECTRUM ANTIBIOTICS 7.PREVENT BABY FROM CRYING |
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POST OP CARE FOR EA W/ TEF:
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1.BABY IN INTENSIVE CARE-ICU
2.RADIANT WARMER 3.HYPERALIMENTATION 4.MONITOR FOR RESP COMPLICATION-CHECK FOR PNEUMONIA,TEMP,ATELECTASIS,DRAINAGE FROM TEST TUBES 5.GT TUBE-FOR 5-7 DAYS |
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COMPLICATIONS OF AT AND TEF POST OP
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1.LEAKS AROUND SITE
2.**STRICTURES/NARROWING OF ESOPHAGUS** 3.REFLUX-GER 4.DYSPHAGIA-REFUSAL TO EAT,SPITTING UP 5.D/C TEACHING-CUT FOOD IN SMALL & WATCH FOR SWALLOWING OBJECTS |