Lecture 6

Question 1

Kernicterus

Answer 1

excess bilirubin in the brain
inflammation in meniges
occurs when bilirubin over 20

Question 2

Opisthotonos

Answer 2

position tow newborn assumes due to kernicterus
hyperextended posture and rigid

Question 3

What position do you place a opisthotonic newborn

Answer 3

on their side

Question 4

Kernig’s sign

Answer 4

pain when lifting knee

sign of meningitis and kernicterus

Question 5

Brudzinki’s sign

Answer 5

hip and knees are flexed when neck is

meningitis and kernictus

Question 6

Hiatal Hernia

Answer 6

regurg of gastric acid

like a cow with two stomachs- part of stomach pushes up through diaphragm
*wrong direction at right rate

Question 7

S/S of Hiatal hernia

Answer 7

Heartburn and indigestion after* lying down after eating

Question 8

Treatment for hiatal hernia

Answer 8

1. Elevate HOB during and 1hr after meals
2. increased fluids with meals
3. Increase carbs- increased stomach emptying
4. low protein

Question 9

Treatment for hiatal hernia

Answer 9

1. Elevate HOB during and 1hr after meals
2. increased fluids with meals
3. Increase carbs- increased stomach emptying

Question 10

Dumping syndrome

Answer 10

Gastric contents dumped to quickly into duodenum
right direction wrong rate

Question 11

Dumping syndrome

Answer 11

Gastric contents dumped to quickly into duodenum
right direction wrong rate

Question 12

Dumping syndrome s/s

Answer 12

Drunk, shock, abdominal distress
Drunk: staggering gate, impaired judgment, labile emotions,
shock: tachycardia, cold, clammy, pale
abdominal distress: n/v, diarrhea, cramping, guarding, borborygmi, bloating, distention

Question 13

Treatment for dumping syndrome

Answer 13

lower HOB during meals and turn pt on their side
decreased fluids 1-2 hrs before meals
decrease carb amount
high protein