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CCAC NRN 102 (Ch 47)

CCAC NRN 102 Gastrointestinal Dysfunction CH47

QuestionAnswer
Common body fluid disturbance in infants and children and occurs whenever the total output of fluid exceeds the total intake, regardless of cause. Dehydration
What are three causes of dehydration? Insensible losses through skin and respiratory tract, increased renal excretion, and GI tract.
What are the three types of dehydration? Isotonic, Hypotonic, and Hypertonic.
If a 2 year old child has lost 6% of their body weight, what severity of dehydration do they have? Moderate
A 9 month old infant weighing 9kg has lost 1000ml of fluid, determine the severity of the dehydration. Moderate
Diarrhea is a symptom that results from disorders involving digestive, absorptive, and secretory functions
Diarrheal disturbance that involves the stomach and intestines is termed Gastroenteritis
A leading cause of illness in children younger than 5 years of age, defined as sudden increase in frequency and a change in consistency of stools Acute diarrhea
Chronic diarrhea an increase in stool frequency and increased water content with a duration of more than 14 days.
Most frequent viral cause of acute diarrhea in young children Rotovirus
What are the most frequent bacterial causes of diarrhea in children? Salmonella, Shigella, and Campylobacter
What are the major goals in the treatment of acute diarrhea? 1, assessment of fluid and elecrtolyte imbalance, 2, rehydration, 3, maintenance fluid therapy, 4, reintroduction of adequate diet
Constipation is an alteration in the frequency, consistency, or ease of passing stool.
Normally the newborn passes first meconium stool within 24 to 36 hours
The initial manifestation of cyctic fibrosis Meconium ileus
Forceful ejection of gastric contents through the mouth vomiting
The transfer of gastric contents into the esophagus Gastroesophageal reflux (GER)
Represents symptoms or tissue damage that results from GER GERD gastroesophageal reflux disease
Repetitive stretching and arching of the head and neck in young children Sandifer syndrome
Inflammation of the vermiform appendix Appendicitis
Fever, vomiting, abdominal pain, and elevated WBC count Symptoms associated with appendicitis but also seen with IBD
Where does the abdominal pain of appendicitis usually start? Periumbilical
Where does the the pain become most intense? McBurney point
Is Rebound tenderness a reliable sign of appendicitis? No
Created by: JayneAnn
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