NURSE-UN 1255 Lecture 3: Pediatric Nursing - Exam 3 - Weeks 5-6
Document Summary
Care of the child with alteration in bowel and urinary elimination. Anatomy and physiology of the gastrointestinal system of children. Esophagus: les not fully developed until age 1, causing regurgitation: mouth: highly vascular; entry point of infection, newborn stomach capacity only 10 to 20 ml. Intestines: small intestine not mature at birth (250 cm vs 600 cm) Biliary system: liver relatively large at birth; pancreatic enzymes not completely developed until around 2 years old. Appropriate administration of oral antifungal agents by administering mycostatin suspension four times per day following feeding to allow the medication to remain in contact with the lesions. Child and family education related to the treatment of gi disorders is key to preventing the illness from progressing to an emergency situation: dehydration need to restore fluid volume and prevent progression to hypovolemia. Vomiting to focus on promotion of fluid and electrolyte balance.