Peds-Hirschprungs Disease Flashcards
1
Q
S/S of Hirschsprungs
A
Absence of meconium stool in newborn
- Bilious vomiting
- Abdominal Distension
- Severe Constipation
- Ribbon or Pellet-like stool
- Poor weight gain
- Food Intolerance
2
Q
Serious complication of Hirschsprungs Disease
A
- Enterocolitits - inflammation of digestive tract
* Sepsis
3
Q
____% of children with Hirschsprungs end up with Enterocolitis
A
6%
4
Q
Hirschsprungs is often seen in children that have _____________ syndrome
A
Down
5
Q
Physical Exam of child with hirschsprungs?
A
_Abdominal Distention
_Digital rectal exam-to evaluate if there is any stool in colon
6
Q
Dx test used for Hirschsprungs
A
XRAY
_Water-soluble contrast enema
_Rectal Biopsy
7
Q
Hirschsprungs is more commonly seen in which gender?
A
Females
8
Q
nursing Preoperative Care for Hirschsprungs
A
- Support child and family
- NPO
- NG tube (to decompress the bowel)
- IV fluids
9
Q
Surgical treatment of Hirschsprungs
A
- Pull Through Procedure
* Coloscopy
10
Q
Postoperative Nursing care Hirschsprungs
A
- Pain Management
- NG tube to suction
- Assess abdomen for distension
- Monitor for fever
- Assess diaper area for breakdown
- Colostomy care
- Rectal dilations
- Bowel Program
