GI Book Flashcards
(44 cards)
is the GI system is immature at birth
yes
what is sucking before 6 weeks
primitive reflex
when do you develop the voluntary control of swallowing
6 wks
who has increases peristalsis
newborn
is the stomach size small in the newborn
yes
increase peristalsis and small stomach size in the newborn contribute to
small frequent feedings
increase frequency of BM and liquid consistency
why do you get regurgitation
relaxed cardiac sphincter
digestion occurs in
duodenum
why do kids get abdominal distention
due to decrease enzymes
when is the GI system normal
2 years
when are they able to control sphincter and then potty train
18 mo
for cleft lip and/or palate what is the majority of cases
majority are combination
~45%
repair of CP/L
lip is done at 3-5 mo to help with feeding to create a seal
palate is done at 12 mo to protect formation of tooth buds and speech pattern
post op CP/L
minimize crying as it can affect the suture line
pyloric stenosis
hypterropic obstruction of the circular muscle of the pyloric canal so the lumen becomes inflamed and edematous
pyloric stenosis s/s
projective vomiting
- 3 feet
nonbilous or blood tinged throw up
hungry after emesis
fails to gain weight
fewer and smaller stools
dehydration
M. Alk
observed peristalsis
olive sided mass in RUQ
pyloric stenosis tx
pylormytomy
pyloric muscle is split
GER/GERD
return of gastric contents into the esophagus
result of relaxation of the esophageal sphincter
most common esophageal disorder in kids
GER
GER s/s
regurgitation
spitting up
decrease wt
frequently hungry
GERD s/s
refusal of eating
sleep distrubances
coughing
choking
wheezing
arching of back during feedings
older: dysphagia, heartburn
GER/GERD diagnosis
esophageal pH monitoring
GER/GERD tx
mild
- feeding modification with thicker foods and positioning
smaller feedings and increase frequency
H2 blocker and PPI
GER/GERD surgery
wrapping the greater curvature of the stomach around distal esophagus