Tracheal Esophagel Fistula/Espophageal Atresia Flashcards Preview

Peds Exam 2 > Tracheal Esophagel Fistula/Espophageal Atresia > Flashcards

Flashcards in Tracheal Esophagel Fistula/Espophageal Atresia Deck (15)
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1

what are risk factors

low birth weight
pre-term birth
maternal polyhydramnios
congential malformations

2

what are the 3 classic s/s

coughing
choking
cyanosis

3

what is key sign

excessive frothy mucous from the mouth & nose

4

which diagnostic test confirms this

attempting to pass an NG tube to the stomach

5

what is done immediately

NPO
surgery

6

one step surgery

thoracotomy w/ division & ligation of fistula

7

two step surgery

ligation of fistula & insertion of G tube
ends of esophagus reconnected

8

what can be used if the area of the esophagus removed is too large

part of the colon or a G tube

9

what is tracheomalacia

soft airway

10

how often is tracheomalacia a significant complication

10-20%

11

what is given for the first feeding pre op

plan water

12

which position should the infant be in

elevated at least 30 degrees

13

which test should be done before starting oral feeds post op

barium swallow/esophogram

14

what is given for the first feeding post op

sterile water

15

what are symptoms of tracheomalacia

barking cough
stridor
wheezing
recurrent URI's
apnea