NURS 3444 Lecture Notes - Lecture 18: Tracheoesophageal Fistula, Pyloric Stenosis, Esophageal Atresia
Document Summary
The characteristics of the gi system does not include the following: decreasing peristalsis across children. I&o: history, clinical examination and observation, weight and height, abdominal assessment, lab tests. Gi disorders: signs and symptoms: feeding disorders, structural disorder, muscular disorder, neuromuscular disorders, cleft lip and cleft palate, hypotonia downs, dysregulation in breastfeeding, prematurity, sensory overload. Immobilizers: pain medication, distractions, feeding, incision care, prognosis. Structural defects: esophagus and stomach, esophageal atresia, tracheoesophageal fistula, pyloric stenosis, gastroesophageal reflux (motility) Clinical therapy and surgical intervention: diagnostic evaluation, projectile vomiting, olive-shaped mass in the ruq, ultrasound, therapeutic management, laparoscopic surgery pyloromyotomy, the pyloric muscle is split allows passage of food and fluid, prognosis, nursing considerations. Nursing management: all gi disorders: preventive teaching, pain control, diet & hydration assessment and management, emotional support. Outcomes: address gi alterations to insure adequate weight gain, limited spitting up or vomiting, good sleep habits, no recurrent pneumonias.
