Term
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Definition
| inflammation of the stomach and intestines accompanying numerous GI disorders. |
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Term
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Definition
| anorexia, nausea, vomiting, fever (depending on causative factor) abdominal discomfort, and diarrhea. |
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Term
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Definition
| bacterial enterotoxins, bacterical or viral invasion, chemical toxins or miscellaneous conditions (lactose intolerance) |
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Term
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Definition
| may be slow, but more often it is abrupt and violet, with rapid loss of fluids and electrolytes causesd by V/D |
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Term
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Definition
| Hypokalemia, hyponatremia, acidosis or alkalosis |
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Term
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Definition
| supportive and includes bed rest, sedation, IV replacement of electrolytes, and antispasmodic medication (control V/D) |
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Term
| gastroenteritis oral intake |
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Definition
after acute- water
if produces no V/D- clear fluids
followed by foods patient likes and not irritating |
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Term
| complications gastroenteritis |
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Definition
| dehydartion, shock, vascular collaspe, and renal failure. |
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Term
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Definition
| a congenital anomaly- 1 or more clefts- failure in the embryo of the maxillary and median nasal processes to close (tx-surgery) |
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Term
| cleft-lip essential observations |
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Definition
| assess respiratory stridor or obstruction, excessive bleeding, separation of the incision, and redness under the elbow restraints used to keep hands from the mouth |
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Term
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Definition
| jaundice, hepatomegaly, anorexia, abd and gastric discomfort, abnormal liver function, clay-colored stools, and tea-colored urine. |
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Term
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Definition
| viral- slow onset- food/water contaminated- young adults and usually full recovery- duration 14 to 45 days- vaccine- prophyalaxis with immune globulin in household and sexual contacts |
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Term
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Definition
| 45 to 180 days incubation- Percutaneous (parenteral)/permucosal exporsure to blood or blood products/ sexual contact and perintal transmission |
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Term
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Definition
| repair of cleft lip early in infancy |
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Term
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Definition
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Term
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Definition
* inspect the infantslip and palate
* Assess the infant's ability to suck
* obtain the infant's baseline weight
* Observe interaction between the family and infant.
* Determine family coping and support
* Refer parents to appropriate support groups
* Consult with social services to provide needed services for the family and infant |
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Term
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Definition
| midline fissure of the palate that results from failure of the two palatal processes to fuse. |
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Term
| possible causes of CL and CP |
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Definition
| Exposure to teratogens such as alcohol, cigarette smoking, anticonvulsants, steriods, and retinoids are associated- Also folate deficiency |
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Term
| time periodin utero of CL/CP abnormality |
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Definition
| between the fourth and tenth weeks of embryonic development |
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Term
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Definition
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Term
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Definition
| between 7th and tenth week |
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Term
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Definition
| sometimes unable to create proper suction for feeding but in most cases ability to swallow is normal. |
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Term
| multidisipline health care time for CL/CP |
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Definition
| pediactrics, plastic surgery, orthodontics, otolaryngology, speech/language pathology, audiology, nursing and social work. |
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Term
| Cleft lip repair usually done? |
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Definition
| 2 to 3 months of age- rule of tens- 10 weeks, 10 lbs, and hemoglobin level 10. |
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Term
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Definition
| between 6 to 12 months- early repair interferes with skeletal growth of midface but postpoing closure beyond the child's first words may result in increased speech disorders. |
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Term
| Swallow a lot of air CL/CP |
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Definition
| pause during feedings to burp the infant |
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Term
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Definition
petroleum jelly to the operative site for several days after surgery. elbow immobilizers (immediately after surgery and for 7 to 10 days. syringe feeding for 7 to 10 days
Adequate analgesia
upright or infant seat position is helpful espeically for infants who have difficulty with handling secrections
Avoid use of suction or other objects in the mouth
soft diet |
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Term
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Definition
| occus through the skin; the remaing third is lost through the respitatory tract. |
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Term
| insensible fluid losses affected by |
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Definition
| Heat and humidity, body temp and respiratory rate |
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Term
| kidney function of infants |
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Definition
| inefficient in excreting waste products of metabolism. inability to concentrate or dilute urine, to conserve or excrete sodium, and to acidify urine. |
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Term
| infants and gastroenteritis |
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Definition
| involve both water and electrolytes; therefore, replacement includes administration of both calculated on the basis of ongoing processes and lab serum electrolyte values. |
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Term
| children- excessive amounts of electrolyte free water |
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Definition
| develope a concurrent decrease in serum sodium accompanied by the CNS symtpoms. irritability, somnolence, HA, V/D or generalied seizures. |
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Term
| dehydrations- sodium depletion in diarrhea |
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Definition
* in stool
into the ICF compartment to replace potassium to maintain electical equilibrium |
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Term
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Definition
| the primary form of dehydration in children, occurs in conditions in which electrolyte and water deficits are present in approzimately equal amounts. major loss ECF compartment. hypovolemic shock |
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Term
| normal plasma sodium level |
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Definition
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Term
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Definition
| electrolyte deficit exceeds the water deficit leaving serum hypotonic. ICF is more concentrated that ECF- water moves from ECF to the ICF. further increases ECF volume loss- SHOCK |
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Term
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Definition
water loss in excess of electrolyte loss and isusually caused by a proportionately larger loss of water or a larger intake of electrolytes. Most dangerous. Shock less apparent more CNS disturbance (permanent damage)
alterations in consciousness, poor ability to focus attention, lethargy, increased muscle tone with hyperreflexia and hyperirritability to stimuli |
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Term
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Definition
50 ml/kg/48hours
100 mg/kg/48hours |
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Term
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Definition
| change in level of consciousness (irritbility to lethargy), altered repsonse to stimuli,decresed skin elasticity and turgor, prolonged capillary refill (>2 sec),increased HR, and sucken eyes and fontanels. |
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Term
| earliest detectable sign of dehydration |
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Definition
| tachycardia- then day skin/musous membrnaes, coolness and mottling, loss of skin elasticityand prolonged capillary filling time. |
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