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NR 602 Midterm Exam Study Guide / NR602 Midterm Exam Study Guide(V5)(NEWEST, 2021) : Chamberlain College of Nursing (Download to score A) $7.49
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NR 602 Midterm Exam Study Guide / NR602 Midterm Exam Study Guide(V5)(NEWEST, 2021) : Chamberlain College of Nursing (Download to score A)
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  • Course
  • NR 602 / NR602 (NR602/NR602)
  • Institution
  • Chamberlain College Of Nursing

NR 602 Midterm Exam Study Guide / NR602 Midterm Exam Study Guide(V5)(NEWEST, 2021) : Chamberlain College of Nursing (Download to score A)

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  • July 30, 2021
  • 8
  • 2021/2022
  • Other
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  • nr 602 midterm exam study guide nr602 midterm exam study guidev5newest
  • 2021 chamberlain college of nursing

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  • Chamberlain College Of Nursing
  • NR 602 / NR602 (NR602/NR602)
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NR 602 Midterm Exam Study Guide

Topics 26-30: Cryptosporidium, Pyloric stenosis, Intussusception, Celiac Disease, & Juvenile
Idiopathic Arthritis

Cryptosporidium
Cryptosporidium is a parasite. This is a living organism that live sin, or on, another organism. It can
infect bowels and cause cryptosporidiosis. This is a form of bowel infection called Gastroenteritis,
which leads to diarrhea and vomiting.

In most healthy people, the infection produces a bout of watery diarrhea and will go away within a week
or two. Immunocompromised patients…This can be a life -threatening disease.

SSX: The first SSx usually appear within the week after infection

 Watery diarrhea
 Dehydration
 Lack of appetite
 Weight loss
 Stomach cramps
 Fever
 N/V

Some people infected will have no symptoms.

Preventing the spread with good hand hygiene, washing fruits and veggies, avoid fecal exposure, avoid
contaminated water

Symptoms usually resolve on their own

Pyloric Stenosis
Characterized by hypertrophied pyloric muscle, causing narrowing of the pyloric sphincter.

 Occurs in 3/1000 births
 Males >females
 Familial
 Common in first born Caucasian males

Clinical findings:

 Regurgitation and NON projectile vomiting first few weeks of life
 PROJECTILE vomiting at 2 to 3 weeks old
 Insatiable appetite, with weight loss
 Dehydration, constipation
 Linked to erythromycin administration n first weeks of life

, PE:

 Weight loss
 Vomit that can contain blood
 A distinct “olive” mass that is often palpated in the epigastrium to the right of the midline
 Reverse peristalsis is seen

Diagnostics

 US
 Upper GI series shows a “string sign”

Management

Surgery (Pyloromyotomy) after correction of fluid balance

Prognosis is excellent

Intussusception
 Thought to be the most frequent reason for intestinal obstruction in children
 Most commonly occurs in children 5 to 10 months of age
 Most common cause of intestinal obstruction in children 3 months to 6 yo
 80% occur before age 2

Generally idiopathic in younger infants

Sometimes in older children, underlying medical predisposing factors: polyps, Meckel diverticulum,
constipation, lymphomas, lipomas, parasites, rotavirus, adenovirus, and foreign bodies.

Can be a complication of CF.

Clinical Findings

Classic Triad: 1) intermittent colicky abdominal pain, 2) vomiting, 3) Bloody mucous stools

 Episodic abd pain with vomiting every 5 to 30 minutes
 Screaming and drawing legs up, with periods of calm or lethargy b/w episodes
 “currant jelly” stools
 Hx of URI common
 Lethargy

PE

 Child may appear glassy-eyed in b/w episodes
 Sausage like mass may be felt in RUQ with emptiness in the RLQ (DANCE SIGN)
 Abd is distended and tender
 Guaiac + stools

Diagnostics

Abd flat plate can appear normal

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