NR 328 Exam #2 GI Dysfunction
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Terms in this set (57)
What is meconium? What if this is Meconium, a thick, greenish-black material
absent? consisting of epithelial cells, digestive tract
secretions, & residue of swallowed amniotic fluid, is
normally expelled from the intestine shortly after
birth & provides evidence of patency of the GI tract.
*If meconium is absent, this can be a red flag and
indicate cystic fibrosis
What is the correct order for Inspection
assessment of the abdomen? Auscultation
Light palpation
Deep palpation
What is greatly linked to FTT? Malnutrition
What electrolyte disorder does Metabolic acidosis
diarrhea cause? "Bases come out of the butt"
What is the best way to assess Count wet diapers and monitor I&O
hydration status in infants and
children?
, Management of dehydration -Oral replacement therapy is best, then IV
-Assess fluid/electrolyte imbalance, rehydration,
maintenance fluid therapy, reintroduction of
adequate diet (when diarrhea slows, can slowly
return to a normal diet, not a BRAT diet)
If 30 mL of fluid is lost, how much For however many mL of fluid is lost, replace the
fluid should you give? What if the same amount of fluid via oral rehydration.
child is vomiting? If the child vomits after administering oral
rehydration, continue to give in small, frequent sips.
If vomiting continues, take child to the hospital.
What do you give a child with severe IV bolus with isotonic solution
dehydration?
Dietary considerations for children -No fruit juices/soft drinks (esp. with caffeine) &
with diarrhea gelatin-high carb/low electrolyte/high osmolarity.
BRAT diet has very little nutritional value. Early
introduction back to a normal diet
-Infants who are breastfeeding should continue to
do so, & ORS should be used to replace ongoing
losses in these infants. Formula fed may need
lactose free
When should the first meconium be •First meconium should be passed within 24 to 36 hr
passed? of life; if not, assess for:
•Hirschsprung disease, hypothyroidism
•Meconium plug, meconium ileus (Cystic Fibrosis)
Interventions for an infant with Dilute prune juice, dilute white grape juice, gripe
constipation juice, ENEMA, dilute apple juice, belly rubbing
Leave the first rating
Save
Terms in this set (57)
What is meconium? What if this is Meconium, a thick, greenish-black material
absent? consisting of epithelial cells, digestive tract
secretions, & residue of swallowed amniotic fluid, is
normally expelled from the intestine shortly after
birth & provides evidence of patency of the GI tract.
*If meconium is absent, this can be a red flag and
indicate cystic fibrosis
What is the correct order for Inspection
assessment of the abdomen? Auscultation
Light palpation
Deep palpation
What is greatly linked to FTT? Malnutrition
What electrolyte disorder does Metabolic acidosis
diarrhea cause? "Bases come out of the butt"
What is the best way to assess Count wet diapers and monitor I&O
hydration status in infants and
children?
, Management of dehydration -Oral replacement therapy is best, then IV
-Assess fluid/electrolyte imbalance, rehydration,
maintenance fluid therapy, reintroduction of
adequate diet (when diarrhea slows, can slowly
return to a normal diet, not a BRAT diet)
If 30 mL of fluid is lost, how much For however many mL of fluid is lost, replace the
fluid should you give? What if the same amount of fluid via oral rehydration.
child is vomiting? If the child vomits after administering oral
rehydration, continue to give in small, frequent sips.
If vomiting continues, take child to the hospital.
What do you give a child with severe IV bolus with isotonic solution
dehydration?
Dietary considerations for children -No fruit juices/soft drinks (esp. with caffeine) &
with diarrhea gelatin-high carb/low electrolyte/high osmolarity.
BRAT diet has very little nutritional value. Early
introduction back to a normal diet
-Infants who are breastfeeding should continue to
do so, & ORS should be used to replace ongoing
losses in these infants. Formula fed may need
lactose free
When should the first meconium be •First meconium should be passed within 24 to 36 hr
passed? of life; if not, assess for:
•Hirschsprung disease, hypothyroidism
•Meconium plug, meconium ileus (Cystic Fibrosis)
Interventions for an infant with Dilute prune juice, dilute white grape juice, gripe
constipation juice, ENEMA, dilute apple juice, belly rubbing
