WITH AUTOIMMUNE DISEASES
& GI DISORDERS
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note,
summary and exam preps
Tutor Sammy
For mor e info: samuelwanjir u0 8 4 @ gmail.c om
, CHON, leaukocystosis
NURSING CARE FOR CHILD o Full course: 6-8wks o Bed
rest (acute phase) o Monitor VS
WITH AUTOIMMUNE DISEASES (apical pulse)
& GI DISORDERS o Penicillin: single IM benzathine penicillin o Oral
ibuprofen o Corticosteroids o
Learning Outcomes
Pnenobarbital/ diazepam
o D igoxin/ diuretics
1 Describe autoimmune diseases & GI disorders that
occur in pediatrics.
2 Assess an infant who is born with autoimmune
diseases & GI disorders.
3 Utilize knowledge autoimmune diseases & GI disorders
to promote quality maternal and child health nursing
care.
Course Outline
AUTOIMMUNE DISEASES
□ Rheumatic Fever
□ Kawasaki Disease KAWASAKI DISEASE
GASTROINTESTINAL DISORDERS o Mucotaneous lymph node syndrome o Febrile,
□ Pyloric Stenosis multisystem disorder that occurs almost exclusively
in children before age of puberty
□ Intussusception
o Peak: boys under 4 y/o o Vasculitis: principal
□ Necrotizing Enterocolitis finding and can lead to aneurysm and myocardial
infarction
□ Appendicitis
o Infection -> altered immune function -> increased
□ Celiac Disease antibody production -> circulating immune
complexes bind to vascular epithelium -> blood
□ Hirschsprung’s Disease
vessels inflammation -> aneurysm, platelet
accumulation, thrombi formation
AUTOIMMUNE DISEASES
ACUTE PHASE (STAGE 1)
RHEUMATIC FEVER
o Fever (39-40C), lethargic/ irritable, erythematous
o Group A beta-hemolytic streptococcal infection o
swollen hands & feet, conjunctivitis, strawberry
Inflammation = fibrin deposits on endocardium &
tongue, cracked lips, rashes, palpable cervical lymph
valves
nodes, abdominal pain, anorexia, diarrhea, arthritic
o Often follows an attack of pharyngitis, tonsillitis,
joints, WBC, ESR elevated
scarlet fever, “strep throat” or impetigo
o Occurs often to 6-15 y/o and peak: 8 y/o o
Reccurent infection o Si/Sx of orig infection =
well = 1-3 wks after, onset of rheumatic fever Sx
o Jones criteria o Carditis, erythema
marginatum,
subcutaneous nodules, Sydenham’s chorea,
Polyarthritis o Anthralgia, fever,
elevated ESR, C-reactive
For more info: samuelwanjiru084@gmail.c om