Term
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Definition
congenitally interrupted esophagus where the proximal and distal ends do not communicate.
Upper esophageal segmant ends in a blind pouch
Lower segment ends a variable dcistance above the diaphram |
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Term
| Tracheoesophageal fistula |
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Definition
| Abnormal communication between the trachea and esophagus. |
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Term
| Where does a tracheoesophageal fistula most communly occur when associated with an esophageal atresia? |
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Definition
| between the distal esophageal segmant (lower segment) and trachea |
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Term
| Congenital anomalies often found in infants who have a tracheoesophageal fistula/Esophageal atresia |
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Definition
| Vertebra, kidneys, heart, musculoskeletal and GI systems. |
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|
Term
| Nursing assessment for infant w/ esophageal astria/tracheoesophageal fistula |
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Definition
Maternal polyhyramnios
Copious frothy bubles of mucous in mouth/nose along w drooling
Abdominal distention (air)
Coughing, choking, cyanosis. |
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Term
|
Definition
| inflammation of the lungs d/t presence of a forign substance |
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Term
|
Definition
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Term
| Diagnosis of esophageal atresia/transesophageal fistula |
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Definition
Radiographic elvaluation
X-ray |
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Term
| Pre-Op Care for child having surgical correction of esophageal atresia/transesophageal fistula |
|
Definition
NPO
HOB 30-45 degrees
Monitor fluid & electrolyte balance
Maintain patency of orogastric tube (low suction)
Don't irrigate Orogastric tube
Have O2 and suction equipment at HOB
Minimize crying
Talk to parents
Passifier |
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Term
| Post-Op care for child with corrected esophageal astria/tracheoesophogeal fistula |
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Definition
TPN
Antibiotics
Oral feedings usually start about 1 week post op once the anastomosis is proven intact and patent |
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|
Term
| Normal blood ammonia levels |
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Definition
Adult 10-80 mcg/dL
Child 40-80 mcg/dL |
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Term
| Why is there ammonia in the blood? |
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Definition
| by-product of protein catabolism. Normally it goes to the liver and is converted into urea and secreted by the kidneys |
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Term
| What do elevated ammonia levels indicate? |
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Definition
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Term
| cycloSPORINE (Sandimmune) |
|
Definition
Immunosuppresant (anti-rejection)
nephrotoxic
Increases BP
Take with meals
no grapefruit juice
Increases hair growth
good oral hygiene |
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Term
|
Definition
Immunosuppresant (anti-rejection)
Don't use with cyclosporine
Causes GI symptoms
Hypertension
No raw seafood
photosensitivity |
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Term
| mycophenolate mofetil (CellCept) |
|
Definition
Immunosuppresant (anti-rejection)
Empty Stomach
Not with antacids |
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Term
|
Definition
Diuretic
Potassium wasting |
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