Pediatrics Test4 - Pediatrics Family Feud What are the...

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Pediatrics Family Feud
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What are the clinical manifestations of Hirschsprung’s disease ? aka Congenital Aganglionic Megacolon absence of parasympathetic ganglion cells in the large intestine (rectus, sigmoid) absence of peristalsis leads to obstruction most common cause of distal bowel obstruction in newborns 1 in 5000’s births; males x 3 > females, Down’s, GU defects, CV defects, seizures Complications: enterocolitis (small int. and colon inflammation); high-protein, high-calorie, low fiber, Colace, Pre-op: cleansing saling enemas, NPO, NG, IV fluids & electrolytes, antibiotics P.O. & P. R.
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Hirschsprung’s Disease Symptoms 1. Failure to pass meconium in the first 24-48 hours. 2. Abdominal distention 3. Bile-stained vomitus 4. Refusal to eat 5. Chronic constipation 6. Inadequate weight gain 7. Ribbon-like or pellet shaped foul-smelling stools 8. Palpable fecal mass. •. Treatment: surgery with colostomy with pull-through at 20 lbs •. pull-through laparoscopic or open surgery
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Preoperative nursing care for a baby with tracheoesophageal atresia? Prevention of aspiration of secretions Position baby supine with head slightly elevated to prevent pressure against the thoracic cavity and prevent secretions from pooling. NPO IV Fluids I and O Parent teaching for the GT Tube.
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100 Points Team 3 What are the signs and symptoms of GERD?
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Vomiting undigested formula and mucus Excessive crying and irritability from esophagitis Coughing occurs when aspiration is suspected. Usually no weight loss.
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Pediatrics Test4 - Pediatrics Family Feud What are the...

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