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CCAC NRN 102 Gastrointestinal Dysfunction CH47

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