GI Disorders Flashcards
cleft lip/palate
associated w/chromosomal defects and teratogens; affected by folic acid deficiency
lip fused at 7-8wk
palate fused 7-12wk
cleft palate post-op complications
infection
bleeding
inability to breathe through nose
inflammation
cleft palate post-op restraints
elbow restraints
no sucking pacifiers, straws, utensils
cleft palate psychosocial issues
trouble bonding w/child grief financial support physical care health maintenance speech
Esophageal Atresia and Tracheoesophageal Fistula
condition of multiple anomalies sometimes associated with tracheoesophageal defects
tx of Esophageal Atresia and Tracheoesophageal Fistula
operation
G-tube insertion
Hypertrophic Pyloric Stenosis
Enlarged circular muscle of the pyloris
Decreases the pyloric canal between the stomach and duodenum: stomach cannot empty
sx of HPS
regurgitation, projectile vomiting, “olive” mass palpated in epigastrum, insatiable appetite, no bile in vomit
tx and management
surgery
introduce food gradually within 4-6 hours
full feeding schedule by 48 hours post-op
Intussusception
telescoping of one portion of the intestine into another
edema and inflammation decrease blood flow –> ischemia, perforation, peritonitis, shock
sx of intussesception
“currant jelly”-like stools, palpable “sausage”-like mass in RUQ
tx of intussesception
enema, barium, IV fluids, NG compression, abx, surgery
Hirshprung Disease
absence of ganglion cells in the bowel which inhibits pushing stool out
sx of Hirshprung Disease
failure to pass meconium, “bile-stained” emesis, explosive stools, failure to thrive
post-op care for Hirshprung Disease
NPO, NG tube, possible indwelling catheter, assess for bowel sounds, IV fluids, ostomy care, dc planning
