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Gastrointestinal Disorder

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Gastrointestinal Disorder of a baby

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Gastrointestinal Disorder What damage does celiac disease
do to the body?
Celiac disease
 People with celiac disease are
 Permanent malabsorption syndrome in
more likely to have nerve
the small intestine
problems (neuropathy) and
 Intolerance to gluten (protein) found in problems with controlling their
barley, rye, oats, wheat movement (ataxia). Lack of
 Exact Cause: Unknown vitamins and minerals might
 Thought to be inborn error of cause this. Or it could be that
metabolism, or immunologic disorder they also have another immune
system problem.
How do you develop celiac disease?
 Celiac disease can develop at
any age after people start eating
foods or medications that contain
gluten. The later the age of celiac
disease diagnosis, the greater
the chance of developing another
autoimmune disorder. There are
two steps to being diagnosed
with celiac disease: the blood test
and the endoscopy.
Assessment:
Phenylketonuria (PKU)
 Steatorrhea: frothy, foul-smelling pale
and greasy
 Distended abdomen
 Muscle wasting particularly in buttocks
and extremities.

Celiac Crisis

 Precipitated by infection, ingestion of
gluten

Nursing Implementation:

Foods allowed:

 Meat such as beef, pork, and poultry Management:
 Fish, eggs, milk and diary products
 Guthrie Blood Test:
 Vegetables, fruits, grains, rice, corn
 Normal: Below 8 mg/dl
 Gluten free wheat flour, puffed rice
 Lofenalac Formula
 Corn flakes, corn meat

Foods Prohibited: Phenylketonuria (PKU) is a rare
 Commercially prepared ice cream,
but potentially serious inherited
malted milk disorder. Our bodies break
 Prepared puddings, grains down the protein in foods, such
 Anything made from BROW: like bread
as meat and fish, into amino
rolls.
 Cookies, crackers, cereals, spaghetti, acids, which are the "building
macaroni noodles blocks" of protein. These amino
 Beer/alcohol acids are then used to make our

, What is PKU and how is it treated?  Maintain a patent airway
Phenylketonuria is a genetic condition (child may appear to have
where levels of phenylalanine build up in repiratory distress b/c od
your body. If left untreated, closure of previously open
phenylketonuria can affect a person's space
cognitive development. Treatment with  Do not place on prone
medications and/or dietary changes help position (to avoid pressure on
reduce symptoms the cheek)
Symptoms of PKU  Avoid strainig on suture line
o Prevent crying
behavioural difficulties such as frequent o Keep the child
temper tantrums and episodes of self-harm.
fairer skin, hair and eyes than siblings who
comfortable
do not have the condition (phenylalanine is  Keep elbow restraint (to keep
involved in the body's production of the child’s hands away from
melanin, the pigment responsible for skin the suture line)
and hair colour) eczema. repeatably being  Keep suture line clean: clean
sick.
after each feeding (NSS,
Cleft Lip water) to remove crust and
prevent scarring
A cleft lip happens if the tissue
that makes up the lip does not Cleft palate
join completely before birth. This cleft palate happens if the
results in an opening in the tissue that makes up the roof
upper lip. The opening in the lip of the mouth does not join
can be a small slit or it can be a together completely during
large opening that goes through pregnancy. For some babies,
the lip into the nose. both the front and back parts
of the palate are open. For
Nursing intervention Pre-op: other babies, only part of the
 Faced in upright position palate is open.
decrease the chance of
aspiration, decrease amount Nursing Intervention: Post-op
of air swallowed  Position
 Burp frequently: (increased On the side or prone:
swallowed air can cause
(drainage of blood and
abdominal distention)
 Large hole nipple: mucus)
 Press cleft lip together to  Have suction available
encourage sucking but use only in
 If infant is unable to suck: emergency
rubber tip syringe, drip the  Prevent injusry or
formula into the side of the trauma to the suture
mouth line:
 Finish feeding with water (to  Use cups only for
wash away formula in the
liquids, not bottle
palate area)
 Provide small frequent  Avoid straws, popsicle,
feedings chewing gum

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