NRSG 4502 Lecture Notes - Lecture 9: Congenital Diaphragmatic Hernia, Umbilical Hernia, Tracheoesophageal Fistula
18 Mar 2016
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Document Summary
Evaporative fluid loss; results in significant fluid losses overall. Add gi disease with vomiting/diarrhea- increased fluid loss. Therefore greater risk for fluid and electrolyte imbalance. Lactose intolerance; decrease lactase levels while infants, part of the reason infants have loose stools. Fat absorption; decrease bile acid- only 90% fats absorbed; breast milk provides lipase. Have not built resistance; breast milk gives added protections. Any kind of nuts not recommended until 2 years or sometimes even 5. Infant med doages differ if impact liver because not processed as well. Altered gastric activity; gi motility decreased, gastric emptying increased. Gastrin and stomach acid; increased- can develop stress ulcers. Stooling patterns; diarrhea is change in consistency/ increase in frequency. How many in house (infective, has anybody been sick?) School problems; stress can manifest as stomachache often in children. Can be done outpatient as well: vomiting; frank blood, up high not getting digested. Abdominal girth; abdomen (look listen feel)
