STUVIA 2024/2025
NUR 208 Test 2 GI
care for cleft lip/palate surgical repair
rinse with water after feeding, lay supine or side, minimize crying, no suction or objects in mouth
considerations for cleft lip/palate
more prone to ear infections
polyhydramnios is associated with
esophageal atresia
esophageal atresia/fistula pre-op
assume pneumonia-broad spectrum abx, may have gastrostomy, no paci
esophageal atresia/fistula pos-op
gastrostomy tube intially, then PO after 10-14 days, paci post-op to increase gastric secretions,
%
classic sign of pyloric stenosis
projectile vomiting, olive-shaped protrusion, visible L to R peristaltic waves, vomiting shortly after feed
pylorotomy post op care
feed early, d/c after 2 successful feeds, BIGGEST RISK: Dehydration
4 signs of obstructions
colicky abd pain
distention
vomiting
constipation.
may draw legs up
secondary S/S/ of obstruction
dehydration
stuvia
, STUVIA 2024/2025
rigid-board like abd
decreased bowel sounds
respiratory distress
shock
Hirschsprung disease
disease of motility. stool doesn't move
s/s of hirchsprung disease in newborn
lack of meconium
doesn't want to eat
bile-stained vomit
distention
failure to thrive
constipation
dairrhea
%
s/s of hurschsprung in childhood
constipation
ribbon-like stools
foul smell
distention
visible peristalsis
anemic
poor nutrition
body absorbs water in stool making it harder and drier
hirschsprung interventions
trend abd girths at level of umbilicus
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