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CPN GI Exam Questions And Correct Answers
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CPN GI Exam Questions And Correct Answers...
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CPN GI Exam Questions And Correct AnswersCrohn's Disease definition - ANSWER • Asymmetrical, patchy
lesions
• Affects all layers of the
bowel of the bowel wall
• Can occur at any point
along GI tract
Crohn's Disease s/s - ANSWER • Abdominal pain, cramping or
swelling, right
• Persistent or recurrent diarrhea
• Constipation
• GI bleeding
• Stomach ulcers
• Vomiting
• Growth failure/delayed puberty
Crohn's Disease - Interventions - ANSWER Nutritional Therapy
• Anti-inflammatory drugs - aminosalicylates or 5-ASA
drugs, mild to moderate symptoms
• Corticosteroids
• Immunosuppressants- azathioprine, 6-MP, methotrexate
• Antibiotics (Flagyl and Cipro)
• Infliximab (REMICADE)
, • Surgical interventions
• Fecal transplant
• Specific Carbohydrate Diet (SCD)
Neonatal jaundice consideration when doing heel stick - ANSWER Turn off bili lights so
you do not artificially lower bili
Failure to pass meconium in the first 48 hours of life could indicate - ANSWER
Hirschsprung's or CF
Intussusception is - ANSWER telescoping or invagination of a bowel segment onto itself.
• Common at ileocecal valve
• Usually happens between 3-24 months
Intussusception causes the following problems: - ANSWER • Creates a obstruction
resulting in compromised blood
supply.
• If not treated can lead to intestinal perforation and
necrosis.
Intussusception Assessment - ANSWER • Sudden onset of abdominal colicky pain
• Draws knees to chest
• Pain can be intermittent
inconsolability
• Vomit progress to bile
• ***Currant jelly stool - late sign***
• Abdomen tender and distended
• Lead to lethargy dehydration,
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