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19 Cards in this Set

  • Front
  • Back

Constipation

-Delay / difficulty in defecation for >2wk


-Sufficient enough to cause significant distress

Encopresis

-Fecal incontinence >4y

Constipation: treatment

-Fiber


-Softeners: Miralax, Colace


-Stimulants: Bisocodyl, Senna


-Lubricants: mineral oil, glycerine


-Disimpaction


-Regimen


-Rewards

Gastreoenteritis

-Diarrhea caused by infection

Diarrhea: small intestine manifestations

-Cramps


-N/V


-Large-volume


-Light color


-Loose to watery


-Soup, greasy, or foul smelling

Diarrhea: large intestine manifestations

-Urge without presence of stool


-Mushy, jelly-like, bloody


-Dark


-Rarely foul smelling

Diarrhea: nursing care

-VS q4h


-Daily weights: diapers, 1g = 1mL


-I & Os


-Dehydration


-Stool cultures


-Skin care


-Turn q2h

Gastroesophageal Reflux (GERD)

-Increased regurgitation frequency -> delayed growth

GERD: complications

-Pneumonia


-Respiratory airway disease


-Color changes during feeding


-Apnea


-Hematemesis

GERD: treatment

-HOB >30deg for >30min


-ranitidine (Zantac)


-omeprazole, lansoprazole, pantoprazole


-Fundoplication

GERD: nursing care

-Upright / prone when awake


-Pacifier


-Small feedings: 1 -3 oz q2-3h


-Rice cereal 1 - 3 tsp/oz


-Enlarged nipple opening

Celiac disease: manifestations

-8 - 24mo


-Persistent diarrhea


-Failure to thrive


-Vomiting


-Weight loss


-Abdominal distension


-Villous blunting

Inflammatory Bowel Disease: manifestations

-Abdominal pain


-Loss of appetite


-Weight loss


-Diarrhea


-Tenesmus (urgency)

Crohn's disease: manifestations

-Weight loss


-Abdominal pain


-Diarrhea without blood


-Tenesmus


-Delayed growth


-Exacerbations & remissions

Ulcerative colitis (UC)

-Diarrhea occasionally bloody


-Weight loss


-Tenesmus


-Delayed growth


-NO abdominal pain

IBS: treatment

-Sulfasalazine


-Prednisone


-Methotrexate


-Infliximab


-Metronidazole (Flagyl), ciprofloxacin

Cleft lip & palate

-Lip repair by 3 - 6 mo


-Palate repair by 6 - 2mo

Cleft lip & palate: nursing care

-Remove elbow restraints q2h for 10-15min one at a time


-DO NOT brush teeth for 1 - 2wk post-op


-Small amount of water after feeding


-Cotton swab with gentle rolling motion down suture line with antibiotic ointment

Intussusception

-Telescoping ileum inside ascending colon -> obstruction


-Pediatric emergency


-Barium / air enema