Peds Part 2 #10 Flashcards Preview

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Flashcards in Peds Part 2 #10 Deck (273)
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1

is it normal to see abdominal distention after a NB eats

yes, due to intestinal muscles being weak

2

stomach capacity of NB

@90 ml (at birth is 15-20 ml)

3

rate of gastric emptying

2-4 hours

4

if a NB hasn't pooped in 24 hours what do we suspect

obstruction suspected

5

when are bowel sounds present after birth

1 hour

6

mucus stools

milk allergy

7

clay/gray stools

obstruction of bile ducts (hepatic problem)

8

black/tarry stools

intestinal obstruction

9

what can turn stools green, very odorous

nutramigen

10

stricture of the anus

imperforated anus

11

what does a imperforated anus usually accompany

spinal cord defects

12

when does a imperforated anus usually occur

7th week of intrauterine life (same as spinal cord)

13

S/Sx of imperforated anus

absence of anus, membrane filled with black mec protruding from rectum, no stools passed within 24 hours, meconium in urine or vaginal opening

14

Tx for imperforated anus

surgery within 24 hours!
want to keep them on their backs after surgery, keep area clean

15

protrusion of abdominal contents through the abdominal wall at the point of the junction of the umbilical cord and abdomen

omphalocele

16

when does a omphalocele usually occur

6-8 weeks intrauterine

17

Tx of omphalocele

delivery via C/S, topical application of warmed saline soaked pads and plastic drape, prophylactic Abx, surgery (delayed to allow NB to grow

18

what do you need to watch for when doing surgery for a omphalocele

respiratory issues when organs are placed back in body

19

congenital absence of one or more layers of abdominal musculature

prune belly syndrome

20

same as omphalocele but has no sac, occurs with other defects are rare, usually to side of umbilicus

gastroschisis

21

failure of esophagus to develop as a continuous passage

esophageal atresia (EA)

22

failure of trachea and esophagus to separate into distinct structures

tracheoesopaheal fistula (TEF)

23

when does EA & TEF usually occur

4-8 weeks gestation

24

esophagus ends in blind pouch, fistula between trachea and stomach

Proximal (EA wth TEF)

25

esophagus ends in blind pouch, no connection to trachea

Pure EA

26

fistula is present between otherwise normal esophagus and trachea

H type

27

what needs to be a concern with EA or TEF babies

aspiration

28

Dx of EA and TEF

xray, barium swallow

29

Tx for EA and TEF

emergency surgery

30

post op for EA and TEF babies

NPO 1-10 days after surgery, chest tube care, skin care