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28 Cards in this Set
- Front
- Back
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How is Pyloric stenosis diagnosed?
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Barium Swallow
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How is Pyloric stenosis treated?
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Pylonomyotomy
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What are the nursing considerations following a Pylonomyotomy?
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Promoto hydration
Prevent aspiration by feeding slowly, burping, HIGH FOWLERS position |
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What is intussusception?
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Telescoping of intestines - usually the ileosecal value which causes ischemia & obstruction
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What is the hallmark sign for Pyloric stenosis?
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Projectile vomiting (2-4 weeks old)
Also olive shaped mass to right of umbillcus |
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What is the hallmark sign for Intussuseption?
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Normal first stool then current jelly like stools.. abdominal pain, vomiting, sausage shaped mass
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How do you treat Intussusception?
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Barium enema
If not - colostomy may need to be done |
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What is celiac disease?
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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 |
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What are the dietary considerations for patients with Celiac disease?
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No processed meat or cheese, margarine, yogurt, hot dogs, gravy, etc.
No BROW (barley, rye, oats, wheat) |
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How are seizures different in infants?
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seizure signs are repetitive sucking, smaking of lips, eyeblinking, tonguing
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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)?
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Reye's Syndrome
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Which disorder results in a relaxed or incompetent lower esophageal sphincter?
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GERD (gastroesophageal reflux)
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What complications can occur r/t GERD?
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Aspiration pneumonia
Apnea (first sign that sends them to MD) |
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How is GERD dx?
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pH probe study
Barium esophagography |
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What nursing considerations are there with patients with GERD?
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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 |
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What is the classic triad for Celiac Disease?
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Steatorrhea
Abdominal enlargement Malnutrition |
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What are the signs of progession of Celiac disease?
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Loss of subcutaneous fat (esp. buttocks)..muscle wasting.
Malnutrition Paleness due to anemia (decreased vit. K absorption) Abdominal pain/vomiting |
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Which disorder is linked to aspirin use during a viral infection?
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Reye's Syndrome
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What is the therapeutic management of Reye's Syndrome?
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Medication to paralyze
Anticonvulsants Mechanical ventilation ICP monitoring Fluid and electrolyte replacement |
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How are the signs and symptoms of diabetes different in children vs adults?
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Bedwetting may be 1st sign in children
Dry skin, blurred vision, sores slow to heal, tireness Recurrent yeast infections in adolescents |
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Which disorder is characterized by the interruption of vascular supply to the proximal femoral epiphysis?
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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 |
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What is the therapeutic managment of patients with Scolosis?
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Prolonged bracing or spinal fusion (rod replacement)
Must wear brace 16-23 hours/day - but based on child's age and severity |
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What is Duchene's Muscular Dystrophy?
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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 |
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What is the Gower's sign and what is it associated with?
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Waddling gate and lordosis
Associated with Duchenne's MD |
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What is the most common fracture in children less than 3 years of age?
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greenstick
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What do you expect of the lab values in a child with Nephrotic Syndrome?
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Proteinuria
Hypoalbuminuria Hyperlipidemia (high serum cholesterol) (lots of edema) |
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Which disorder is acute self-limiting autoimmune disease that follows A Beta-hemolytic infection?
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Acute Glomerular Nephritis
(antigens lodge in glomeruil leading to inflammation/obstruction - excrete RBC) |
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What do you expect the lab values to be in a child with AGN?
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Hematuria
Positive Antistreptolysin 0 titers Elevated SED rate Elevated BUN and Creatinine |
