Pediatric
Pediatric Gastrointestinal Disorders
Question Answer
Unique Characteristics of
Digestive System of
Children
Decreased emptying time
(stomach emptiesa lot
quicker in 2.5-3 hrs), Small
stomach capacity (
...
Pediatric
Pediatric Gastrointestinal Disorders
Question Answer
Unique Characteristics of
Digestive System of
Children
Decreased emptying time
(stomach emptiesa lot
quicker in 2.5-3 hrs), Small
stomach capacity (holds 10-
20mls), Immature relaxed
lower esophageal spincter
(LES) (spit up reason), Low
acidity level (gradully rises
in childhood, normal at 6
yrs)
Etiology/Risk Factors for
short bowel syndrome?
What are the common
causes of it?
Short Bowel Syndrome is a
Malabsorptive Disorder,
Common causes- NEC
Necrotizing enterocolitis
(occurs in premies),
intestinal obstructions, &
Crohn disease
Therapeutic mgt of sort
bowel syndrome
Preserving bowel, Nutrition,
Stimulate intestinal
adaptation (Entral feeding +
cath), Minimize
complications
3 ____ syndrome nursing
interventions; administration
and monitoring of
nutritional therapy, prepare
family for home therapy and
developmental and
emotional stimulation are
short bowel syndrome
adverse effects of long term
TPN
liver failure 6 mo,
expensive, may not take
bottle when done (use
pacifier), intenstine cells
atrophy and die; central line
____ is when an infant is
born without anus, some
more ovious than others, put
a ____few cm up rectum to
make sure ok.
anorectal malformation;
Cathether
VATER syndrome is
associated with
imperforated anus, what
does VATER stand for?
sometimes they add a C.
What does the C stand for?
Vertebral(check spine),
Anal rectal defect, TE
trachealesophigeal fistula,
Renal defect or Radius bone
missing; C = Cardiac
4 diagnostic studies to
determine imperforated
anus:
invertogram (inject dye into
anal opening to see level of
obstruction), ultrasound
(need air so wait 24hrs after
birth), cardiac evaluation,
spinal films
imperforate anus therapeutic
mgt includes an IV, Possibly
a ___, Pt will be NPO for
the ____ which include anal
dilations and divided
sigmoid colostomy and
posterior sagittal
anorectoplasty
Imperforate anus therapeutic
mgmnt includes an IV,
Possibly a NG tube, pt will
be NPO for the anoplasty
position pt in post operative
imperforate anus
side-lying prone position
with hips elevated so stool is
away from surgical site. use
sandbags to support
A high/intermediate lesion
of imperorate anus will
include operation for a
tempoary ___
colostomy
____ inflammation or injury
to bile
ducts>fibrosis>obstruction
occurs> impaireddigestion
fats> accumulation ___&
biliary atresia Inflammation
or injury to bile
ducts>fibrosis>obstruction
occurs>impaired digestion
fats> accumulation bile in
___>progress intrahepatic
ducts>leads to ___ of the
liver
ducts & gallbladder>
progressess intrahepatic
ducts> leads to Cirrhosis of
the liver
In biliary atresia the ducts
are ____ which causes
impaired digestion of fats
and accumulation of bile in
ducts and gallbladder
obstruction
biliary aresia causes fibrosis
of the ____ liver
T/F biliary atresia is
acquired
Fals
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