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18 Cards in this Set
- Front
- Back
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What is meant by tracheo-esophageal malformation? |
These are a group of congenital birth defects in which the esophagus and trachea are malformed |
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How many types of tracheo-esophageal malformation are there? |
Four |
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What are the 3 common tracheo-esophageal malformations? |
1. Esophageal atresia = EA 2. Tracheo-esophageal fistula = TEF 3. Tracheo-esophageal fistula with esophageal atresia = TEF with EA |
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What is the defect called esophageal fistula? |
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 is the defect called tracheo-esophageal atresia with fistula? |
The esophagus ends up in a blind pouch and there is no connection to the stomach and there is a fistula between the esophagus and the trachea |
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Of: TEF, EA, and TEF with EA, which one is most common? |
TEF with EA |
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Name - a blind end esophagus: the trachea is connected to the lungs |
Simple EA |
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Name - 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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Name - a blind end esophagus, the trachea is connected to the lungs, and the trachea and the esophagus are joined |
TEF with EA |
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If an infant has TEF with EA what 3 signs will show up at the first feeding? |
THE 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 pass a catheter into the esophagys and if you meet resistance STOP = there is probably an EA |
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How is the diagnosis of TEF with EA confirmed? |
X-ray with barium |
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Prior to surgery for repair of TEF with EA, how is the infant to be fed? |
They are NPO but fed by 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 unrepaired TEF with EA is... |
Aspiration -Secondary problem is malnutrition |
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How do you meet the oral sucking needs that an infant with unrepaired TEF with EA? |
Use pacifiers, even though they don't take anything orally, they should still be encouraged to suck |
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How should an infant with TEF with EA be positioned? |
HOB up 30 degrees |
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Should you suction the blind esophagus pouch of a EA? |
Yes -PRN -Otherwise they may aspirate mucous |
