ATI Unit 2 - GI Disorders (Josh)

Question 1

Chronic diarrhea is diarrhea that doesn’t resolve in —

Answer 1

14 days

Question 2

Meds for Acute Diarrhea

Answer 2

Metronidazole and Tinidazole (for C. diff)

Mebandazole

Albendazole

Pyrantel pamoate

Question 3

Foods to avoid w/ Diarrhea

Answer 3

Juices, sodas, gelatin

Caffeine

Chicken/Beef Broth (too much sodium)

BRAT diet

Question 4

Levels of Dehydration

Answer 4

Mild = 3-5% weight loss

Moderate = 6-9% weight loss, cap refill 2-4 secs

Severe - > 10% weight loss, cap refill > 4 secs

Question 5

After oral rehydration therapy, which type of diet should we advance to?

Answer 5

normal diet asap

Question 6

Criteria for Cleft Lip repair

Answer 6

10 weeks old

10 lbs

10 Hgb level

Question 7

GER is self-limiting and usually resolves by —

Answer 7

1 yr

Question 8

Nursing Care w/ GER

Answer 8

Small, frequent meals

Thicken formula

HOB elevated 30o for 1 hr after meals

Question 9

Severe cases of GERD may require which procedure?

Answer 9

Nissen Fundoplication

Question 10

What is HPS?

Answer 10

Hypertrophic Pyloric Stenosis

• occurs in first 5 wks of life
• requires surgery
• start clear fluids 4-6 hrs after surgery, advance to BM or formula as tolerated

Question 11

Which GI disease results from lack of ganglionic cells in the colon, resulting in decreased motility and mechanial obstruction?

Answer 11

Hirschsprung Disease

Question 12

How is Hirschsprung Disease treated?

Answer 12

surgical removal of aganglionic section

Question 13

Complications w/ Hirschspung Disease?

Answer 13

Enterocolitis

Anal Stricture and inctontinence

Question 14

With —, one part of the bowel telescopes into another part.

Answer 14

Intussusception

• sausage shaped mass
• red currant jelly stools

Question 15

Air Enemas can help ease pain from —

Answer 15

intussescption

Question 16

Diagnostic procedure to confirm Appendiciits

Answer 16

Computed Tomography (CT) scan that shows an enlarged diameter of appendix and thickening of appendiceal wall

Question 17

Avoid enemas and laxatives with –

Answer 17

appendicitis

Question 18

If appendix has ruptured, what else should we assess for?

Answer 18

Peritonitis

• fever
• sudden increase in pain
• irritability
• rigid abdomen
• abdominal distention
• tachycardia
• rapid, shallow breathing
• pallor
• chills

Question 19

What is Meckel’s Diverticulum?

Answer 19

results from failure of the omphalomesenteric duct to fuse during embryonic development