2 Flashcards

(50 cards)

1
Q

Life Threatening Risk / Complication in infant

A
  1. failure to thrive
  2. aspiration pneumonia
  3. apnea
  4. esophageal stricture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

assesment in child and adolescent:

A

Heartburn
🠶 Abdominal pain
🠶 Cough, recurrent pneumonia
🠶 Dysphagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Major Complication of gerd

A

acute gastric bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Assess Ph of secretions in esophagus if
<7.0 indicates p

A

prescence of acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GERD id diagnosed with

A

barium swallow and endoscooy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

position in gerd

A

keep upright for 30 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

reduce
gastric acidity

A

H2 Histamine receptor antagonists –

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

H2 Histamine receptor antagonists examples

A

Zantac and Pepcid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

medication for gerd

A

H2 Histamine receptor antagonist
Proton-pump inhibitors
Gastric emptying
Antacids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

example of gastric emptying

A

reglanq

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Proton-pump inhibitors exaples

A

prevacid, prilosec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

example of antacid

A

gaviscon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

done to increase the competence of the cardiac
sphincter.

A

Nissen fundoplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

the upper part of the stomach is wrapped around
the lower end of the esophagus and stitched in place, reinforcing the
closing function of the cardiac sphincter.

A

nissen fundoplication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Post-op Nursing Care

A

Assess for pain, abdominal distention, and return of
bowel sounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The pylorus muscle which is at the distal end of the
stomach becomes thickened causing constriction
of the pyloric canal between the stomach and the
duodenum and obstruction of the gastric outlet of
the stomach.

A

pyloric stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Narrowing of the pyloric
spincter

A

pyloric stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the surgeon cuts the tight muscle between the
stomach and small intestine. T

A

Pyloromyotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

This loosens the muscle so the stomach can
empty and food will be able to pass easily into the small intestine

A

pyloromyotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Feeding begins with clear liquids containing what in pyloromyotomy

A

glucose
electrolyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Is the intermittent protrusion of the
stomach up through the esophageal
opening in the diaphragm. W

A

hiatal hernia

22
Q

When this
occurs, the volume of the stomach is
suddenly restricted, leading to periodic
vomiting similar to that of
gastroesophageal reflux

A

hiatal hernia

23
Q

assessment of hiatal hernia

A

vomiting
shortness of breath
pain on vomiting

24
Q

treatment and Nursing Care for hiatal hernia

A
  1. laparascopic surgery
  2. antacid
    keep baby uprigh
25
Peptic Ulcer Disease caused by.
H. pylori
26
Is a shallow excavation formed in the mucosal wall of the stomach, the pylorus, or the duodenum.
peptic ulcer disease
27
In infants, ulcers tend to be ?????? in adolescents, they are usually ???
gastric and doudenal
28
Treatment for peptic ulcer disease
Antibiotic 🠶 Proton pump inhibitor 🠶 Bismuth subsalicylate
29
Essential for the metabolism of CHO, CHON, fats
liver
30
Assist in catabolism of fatty acids and protein and serves as a temporary storage for fat and protein
liver
31
LIVER FUNCTION TEST
Bilirubin 🠶 Alkaline phosphatase 🠶 SGPT 🠶 SGOT 🠶 LDH 🠶 Prothrombin Time 🠶 Albumin
32
inflammation and infection of the liver
hepatitis
33
hepatitis A causative agent
A picornavirus and HAV
34
Active artificial immunity of Hepa A
HAV vaccine * Passive artificial immunity: Immune globulin
35
Hepatitis B Causative agent:
A hepadnavirus; hepatitis B virus (HBV
36
is a single-strand RNA virus.
hepa c
37
or the delta form is similar to HBV in transmission, although it apparently requires a coexisting HBV infection to be activated
hepa d
38
s enterically transmitted similarly to hepatitis A (fecally contaminated water). D
Hepa E
39
CAUSED BY CONGENITAL ATRESIA, STENOSIS OR ABSENCE OF DUCTS. IT ALSO CAN OCCUR FROM PLUGGING OF BILIARY SECRETIONS.
OBSTRUCTION OF BILE DUCTS
40
Help to emulsify fats in the duodenum so that they can be more easily digested by pancreatic enzymes
bile salts
41
It also stimulates the peristalsis of the duodenum
bile salt
42
Instilled in the duodenum to relax the bile duct
Instilled in the duodenum to relax the bile duct
43
To stimulate the flow of bile
dehydrochloric acid
44
a loop of bowel is sutured next to the liver to create a fistula for bile flow between the liver and intestine
a kasai procedure
45
a double-barrelled colostomy is then created
enterostomy
46
Fibrotic scarring of the liver
cirrhosis
47
from the back-pressure of blood that cannot flow readily through the scarred organ
Portal Hypertension
48
Distended veins in the esophagus
sophageal Varices
49
an over active spleen
Hyperslenism
50
Surgical replacement of a malfunctioning liver by a donor
liver transplantation