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28 Cards in this Set

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How is Pyloric stenosis diagnosed?
Barium Swallow
How is Pyloric stenosis treated?
Pylonomyotomy
What are the nursing considerations following a Pylonomyotomy?
Promoto hydration
Prevent aspiration by feeding slowly, burping, HIGH FOWLERS position
What is intussusception?
Telescoping of intestines - usually the ileosecal value which causes ischemia & obstruction
What is the hallmark sign for Pyloric stenosis?
Projectile vomiting (2-4 weeks old)

Also olive shaped mass to right of umbillcus
What is the hallmark sign for Intussuseption?
Normal first stool then current jelly like stools.. abdominal pain, vomiting, sausage shaped mass
How do you treat Intussusception?
Barium enema

If not - colostomy may need to be done
What is celiac disease?
Gluten-sensitive enteropathy (GSE)

Lack of enzyme required to break down protein found in gluten products (breads- wheat products)

Inherited disorder - usually seen after 6 mos when start feeding
What are the dietary considerations for patients with Celiac disease?
No processed meat or cheese, margarine, yogurt, hot dogs, gravy, etc.

No BROW (barley, rye, oats, wheat)
How are seizures different in infants?
seizure signs are repetitive sucking, smaking of lips, eyeblinking, tonguing
Which syndrome is known to follow a viral illness and is non-recurring, non-inflammatory encephaopathy associated with fatty infiltration of interanl organs (liver, brain)?
Reye's Syndrome
Which disorder results in a relaxed or incompetent lower esophageal sphincter?
GERD (gastroesophageal reflux)
What complications can occur r/t GERD?
Aspiration pneumonia

Apnea (first sign that sends them to MD)
How is GERD dx?
pH probe study
Barium esophagography
What nursing considerations are there with patients with GERD?
Thicken formula with rice cereal

Small, freq. feedings 24 cal/oz

Prone with HOB up (no car seat as this increased ICP!)

Antacids, Histamine blockers

Upright 1 hour post feeding
What is the classic triad for Celiac Disease?
Steatorrhea
Abdominal enlargement
Malnutrition
What are the signs of progession of Celiac disease?
Loss of subcutaneous fat (esp. buttocks)..muscle wasting.

Malnutrition

Paleness due to anemia (decreased vit. K absorption)

Abdominal pain/vomiting
Which disorder is linked to aspirin use during a viral infection?
Reye's Syndrome
What is the therapeutic management of Reye's Syndrome?
Medication to paralyze
Anticonvulsants
Mechanical ventilation
ICP monitoring
Fluid and electrolyte replacement
How are the signs and symptoms of diabetes different in children vs adults?
Bedwetting may be 1st sign in children

Dry skin, blurred vision, sores slow to heal, tireness

Recurrent yeast infections in adolescents
Which disorder is characterized by the interruption of vascular supply to the proximal femoral epiphysis?
Legg-calves-perthes

(common in boys 3-10 yo w/ highest incident around 6 yo)

Rarely bilateral

Necrotic bone absorption

No weight bearing 2-4 years
What is the therapeutic managment of patients with Scolosis?
Prolonged bracing or spinal fusion (rod replacement)

Must wear brace 16-23 hours/day - but based on child's age and severity
What is Duchene's Muscular Dystrophy?
Most severe form of MD - muscle wasting & weakness w/ fatty deposits

Sex linked recessive gene

Males more common
Death within 10-15 years

Dx: Changes in gait; freq falls; diff. rising from sitting or supine position
What is the Gower's sign and what is it associated with?
Waddling gate and lordosis

Associated with Duchenne's MD
What is the most common fracture in children less than 3 years of age?
greenstick
What do you expect of the lab values in a child with Nephrotic Syndrome?
Proteinuria
Hypoalbuminuria
Hyperlipidemia (high serum cholesterol)

(lots of edema)
Which disorder is acute self-limiting autoimmune disease that follows A Beta-hemolytic infection?
Acute Glomerular Nephritis

(antigens lodge in glomeruil leading to inflammation/obstruction - excrete RBC)
What do you expect the lab values to be in a child with AGN?
Hematuria
Positive Antistreptolysin 0 titers
Elevated SED rate
Elevated BUN and Creatinine