Test Bank Solution Manual for Gastroenteritis, Dehydration, and Replacement Already Passed

Test Bank Solution Manual for Gastroenteritis, Dehydration, and Replacement Already Passed What is gastroenteritis - Answers Inflammation of the GI tract leading to Diarrhea and vomiting. What is the most common cause of Gastroenteritis. - Answers Viruses. What is the definition of Diarrhea - Answers 3 or more loose water stools. Gastroenteritis is most commonly caused by which virus - Answers Norovirus. Prior to the norovirus which virus was the most common. why is this number decreasing - Answers Rotovirus. Decreasing in incidence due to vaccintion Gastroenteritis is a very common occurrence amongt infants - Answers True. 3.5 million infants per year have viral gastroenteritis. How long are children contagious for when infected with the norovirus - Answers From when they begin to feel ill for at least 3 days. When is gastroenteritis most likely due to bacteria - Answers High Fever, blood diarrhea, mucus in the stool, severe pain in abdomen, more than 6 stools in 24 hours. A severe disease is most likely if - Answers Bacterial infection Patient is immunosuppressed Patient has co morbid conditions. What are General Risk of Dehydration - Answers Signficant losses for body size Age Co morbidities. Duration/Frequency. (If occurring for than a day or 2 baby is really at risk ) What risk factor is highest for dehydration. - Answers Diarrhea plus vomitting. 2 What is the criteria for a medical visit if gastroenteritis is suspected. - Answers Age Below 2 months Persistent fever after 24 hours Child refuses to drink Reduction of urinary output High volume Diarrhea, Diarrhea lasting over week. Lethargic, refuses or irritable What are symptoms of dehydration - Answers Lethargic Unable to drink Tachycardia Weak Deep Absent Cold mottled, cyanotic Minimal urine output T/F All families should be encouraged to have a supply of ORS in the home at all time - Answers True. ORS therapy should be started as soon as - Answers Diarrhea begins. What are the benefits of ORS challenge - Answers ORSs osmaliry is neutral, pt will be less likely to throw it up. What is the difference between gatorade and ORS. - Answers Gatorade has less potassium and a lot more sugar. What is the only ORS recommended - Answers Pedialyte. When is IV rehydration required - Answers Shock Severe Dehydration Decreased Consciousness. If patient has mild to moderate dehydration what is recommended for therapy - Answers ORS 50-100ml/kg body weight over 3-4 hours. What is recommended for replacement of losses - Answers If child is less than 10kg body weight 60-120ml ors for each diarrheal stool or vomitting episode If child is greater than 10kg its recommended of 120-240 What should be used for rehydration therapy for severely dehydrated patients. - Answers Lactated ringers solution or normal saline in administered until perfusions and mental status improves. Then administer body weight ORS over 4 hours. What should be done if child refuses Oral Rehdyration therapy - Answers Evaluate Dehydration status. recommendation of gatorade can be made. If a child is actively vomiting how should ORT be done - Answers If a child is actively vomiting they need to be rehydrated slowly with a teaspoon very 5 minutes. What were the clinical benefits studied in Ondansteron. - Answers Reduced persistent vomitting Reduced need for IV therapy Increased episodes of diarrhea t/f Ondanasteron did not show any effects on decreasing return to care - Answers True. When is ODANSETRON used - Answers It used in pediatric ER for patients with vomiting and requiring rehydration. T/F Odansetron showed significant cost reduction in patients that received it vs those that received standard of care - Answers True. What is the MOA ondansetron - Answers 5HT3 antagonist. What is the dosing of Odansetron for 1 month and over - Answers .15- .3 mg/kg/dose What is the max dose of Odansetron - Answers 16 mg But most will keep it at 8mg. When is Odansetron dosed orally? - Answers 6 Months - 10 years older - if over 8kg.