NSG 3107 Lecture Notes - Lecture 6: Bowel Obstruction, Abdominal Pain, Discworld Gods
Document Summary
Bilious vomiting in older children bowel obstruction. Weight loss very unusual in children, need to investigate. Triage: to differentiate btwn sick, sicker, and sickest and care accordingly. Do they look relatively well: breathing, general appearence, behaviour and interaction (quiet, or verbalizing easily) May need to be investigative with teens as they are not always upfront. Separate teen from parents for a bit to ask questions. Amount of time to give the bolus depends on how ill the child is. Immature kidneys, and larger body surface area, therefore higher chances of dehydration. Try to start off with ort then if needed, more invasive. Children do grow out of it, therefore provide reassurance to parents. Pain starts in pre-umbilical area and radiates from their. May need to illicit pain to confirm diagnosis (hopping on one foot illicits pain) Antibiotics given in er before going to or. Sudden relief of pain is usually sign of ruptured appendix, goes downhill very fast.
