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17 Cards in this Set
- Front
- Back
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what is meant by this? |
a group of congenital birth defects in which the esophagus and trachea are malformed |
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how many types of tracheo-esophageal malformations are there? |
four |
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what are the 3 most common tracheoesophageal malformations? |
1 esophageal atresia 2 tracheo-esophageal fistula 2 EA with TEF |
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what is the defect called esophageal fistual? |
an opening between the esophagus and trachea but the esophagus is connected to the stomach and the trachea is connected to the lungs |
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what defect is called tracheo-esophageal atresia with fistula? |
the esophagus ends in a blind pouch and there is no connection between the stomach and there is a fistula between the esophagus and the trachea |
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which is most common? |
TEF with EA |
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what is a blind end esophagus and trachea connected to the lungs? |
simple esophageal atresia |
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what is the trachea is connected to the lungs, the esophagus is connected to the stomach, but there is a hole connecting the trachea and the esophagus |
TEF |
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what is a blind end esophagus, the trachea is connected to the lungs, and the trachea and esophagus are joined |
TEF with AE |
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if an infant has TEF with EA, what 3 signs will they have? |
three C's - coughing, choking, cyanosis |
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if an infant chokes, coughs, or gets cyanotic during the first feeding what should the nurse do to assess for TEF with EA? |
attempt to gently press a catheter into the esophagus if you meet resistance STOP, there most probably is esophageal atresia |
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how do you confirm a dx of TEF with EA? |
x-ray with barium |
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prior to surgery for repair of TEF with EA how is the infant fed? |
they are NPO but fed by the G-tube |
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does a TEF with EA have to be repaired immediately? |
no -- can be maintained with G-tube feedings and suctioning until they are old enough and stable enough to tolerate surgery |
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the #1 problem for infants with un-repaired TEF with EA is what? |
aspiration, secondary problem is malnutrition |
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how should you position an infant with TEF with EA? |
HOB at 30 degrees |
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should you suction the blind esophageal pouch of EA? |
yes, PRN, otherwise they may aspirate mucous |
