NR 602 Final Review
What is colic?
"rule of threes”: an toddler with colic
“cries for greater than three hours an afternoon,
for extra than three days per week,
and greater than 3 weeks”
Colic can persist as much as age five months. Due to the quantity of crying, regurgitation and
vomiting might also arise after feedings
What medication(s) have shown to be effective in treating Colic (if any?)
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
Are alternative medications together with probiotics powerful within the treatment of Colic?
There isn't any clean evidence that probiotics are greater
effective
Appendicitis
RLQ ache, generally increases whilst taking walks, jumping or coughing, and typically worsens
as time goes on
Foreign Bodies
gadgets swallowed via a infant/infant:
more common in infants after 6 months with coordination of hand-mouth actions.
Coins are the maximum not unusual offender. Most items skip without problem; 10% to twenty%
require surgical management.
Signs and symptoms consist of dysphagia, odynophagia, drooling, regurgitation, belly pain, and
trouble respiration.
,Intussusception
Intestinal obstruction that causes intermittent stomach ache, now and again with vomiting and
bloody stool.
The sliding of 1 part of the intestine into another. The stress created via the walls of the gut
pressing together causes:
reduced blood
go with the flow, inflammation, and swelling.
If a hollow occurs:
infection, surprise, and dehydration can occur rapidly.
Most commonplace among 6 and 36 months however may present in younger toddlers.
Vomiting is bilious once obstruction takes place
CH forty Gi Disorders Questions
The figure of a colicky toddler asks about the use of a probiotic medicinal drug. What will you
inform them?
There is not any conclusive proof approximately the usage of probiotics to treat colic.
A toddler who turned into born prematurely refuses maximum stable ingredients and has
negative weight gain. A barium swallow look at exhibits a regular esophagus.
What will the number one care pediatric nurse practitioner take into account subsequent to
control this baby's dietary desires?
Video fluoroscopy swallowing look at (FTT + Weight loss)
A infant is visible within the health facility after a 2-day records of intermittent vomiting and
diarrhea. An evaluation reveals an irritable child with dry mucous membranes, 3 3-2d capillary
refill, 2-2nd balk of pores and skin, moderate tachycardia and tachypnea, and cool fingers and
ft. The infant has had two moist diapers within the past 24 hours.
What will the number one care pediatric nurse practitioner propose?
Oral rehydration answer with observe-up in 24 hours. (FTT + Weight loss)
,A 9-year-antique lady has a history of common vomiting, and her mother has common migraine
complications. The baby has these days begun having greater frequent and prolonged episodes
followed by way of complications. An examination well-knownshows bizarre eye actions and
mild ataxia.
What is the ideal action?
Refer to a pediatric gastroenterologist for similarly workup. (FTT + Weight loss)
The parent of a 3-month-antique reviews that the toddler arches and gags while feeding and
spits up undigested method frequently. The infant's weight gain has dropped to the fifth
percentile from the twelfth percentile.
What is the fine course of remedy for this infant?
Begin a tribulation of appreciably hydrolyzed protein components for 2-four weeks. (FTT +
Weight loss)
A school-age infant has a 3-month history of stupid, aching epigastric ache that worsens with
consuming and awakens the child from sleep. A complete blood remember suggests a
hemoglobin of 8 mg/dL.
What is the subsequent step in control?
Refer for EGD. (FTT + Weight loss)
A 2-month-old toddler cries up to 4 hours each day and, in step with the mother and father, is
inconsolable at some stage in crying episodes with fists and legs referred to to be worrying and
stiff. The toddler is breastfeeding regularly but is regularly fussy for the duration of feedings. The
physical examination is regular, and the toddler is gaining weight normally.
What will the primary care pediatric nurse practitioner propose?
Eliminating sure foods from the mother's food regimen. (FTT + Weight loss)
A baby is in the hospital after swallowing a metal bead. A radiograph of the GI tract shows a 6
mm cylindrical object within the toddler's belly. The toddler is able to swallow with out issue and
isn't always experiencing pain.
What is the right route of treatment?
Have the mother and father watch for the object in the infant's stool. (Foreign body)
, A 10-yr-vintage infant has had belly pain for 2 days, which started out inside the periumbilical
vicinity after which localized to the right lower quadrant. The child vomited once today and then
skilled remedy from pain observed with the aid of an increased fever.
What is the probably prognosis?
Appendicitis with perforation
An 18-month-antique toddler has a 1 day history of intermittent, cramping stomach ache with
nonbilious vomiting. The baby is found to scream and draw up his legs at some point of pain
episodes and will become lethargic in among. The primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool inside the diaper.
What is the maximum probable analysis?
Intussusception
A faculty age infant has had belly ache for three months that happens once or twice weekly and
is associated with a headache and coffee trouble drowsing, often causing the child to live
domestic from college. The infant does no longer have vomiting or diarrhea and is gaining
weight generally. The bodily examination is ordinary.
According to Bishop, what's covered in the initial diagnostic workup for this baby?
CBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound (GI Bleeding)
An adolescent is diagnosed with useful stomach pain (FAP). The baby's signs and symptoms
get worse at some stage in stressful occasions, specially with school tension.
What could be an crucial part of treatment for this child?
Teaching about the brain intestine interplay causing signs. (GI Bleeding)
What is colic?
"rule of threes”: an toddler with colic
“cries for greater than three hours an afternoon,
for extra than three days per week,
and greater than 3 weeks”
Colic can persist as much as age five months. Due to the quantity of crying, regurgitation and
vomiting might also arise after feedings
What medication(s) have shown to be effective in treating Colic (if any?)
Dicyclomine (Bentylol®, Merbentyl®) & Hyoscyamine (Levsin
Drops®, Donnalix Infant Drops
Are alternative medications together with probiotics powerful within the treatment of Colic?
There isn't any clean evidence that probiotics are greater
effective
Appendicitis
RLQ ache, generally increases whilst taking walks, jumping or coughing, and typically worsens
as time goes on
Foreign Bodies
gadgets swallowed via a infant/infant:
more common in infants after 6 months with coordination of hand-mouth actions.
Coins are the maximum not unusual offender. Most items skip without problem; 10% to twenty%
require surgical management.
Signs and symptoms consist of dysphagia, odynophagia, drooling, regurgitation, belly pain, and
trouble respiration.
,Intussusception
Intestinal obstruction that causes intermittent stomach ache, now and again with vomiting and
bloody stool.
The sliding of 1 part of the intestine into another. The stress created via the walls of the gut
pressing together causes:
reduced blood
go with the flow, inflammation, and swelling.
If a hollow occurs:
infection, surprise, and dehydration can occur rapidly.
Most commonplace among 6 and 36 months however may present in younger toddlers.
Vomiting is bilious once obstruction takes place
CH forty Gi Disorders Questions
The figure of a colicky toddler asks about the use of a probiotic medicinal drug. What will you
inform them?
There is not any conclusive proof approximately the usage of probiotics to treat colic.
A toddler who turned into born prematurely refuses maximum stable ingredients and has
negative weight gain. A barium swallow look at exhibits a regular esophagus.
What will the number one care pediatric nurse practitioner take into account subsequent to
control this baby's dietary desires?
Video fluoroscopy swallowing look at (FTT + Weight loss)
A infant is visible within the health facility after a 2-day records of intermittent vomiting and
diarrhea. An evaluation reveals an irritable child with dry mucous membranes, 3 3-2d capillary
refill, 2-2nd balk of pores and skin, moderate tachycardia and tachypnea, and cool fingers and
ft. The infant has had two moist diapers within the past 24 hours.
What will the number one care pediatric nurse practitioner propose?
Oral rehydration answer with observe-up in 24 hours. (FTT + Weight loss)
,A 9-year-antique lady has a history of common vomiting, and her mother has common migraine
complications. The baby has these days begun having greater frequent and prolonged episodes
followed by way of complications. An examination well-knownshows bizarre eye actions and
mild ataxia.
What is the ideal action?
Refer to a pediatric gastroenterologist for similarly workup. (FTT + Weight loss)
The parent of a 3-month-antique reviews that the toddler arches and gags while feeding and
spits up undigested method frequently. The infant's weight gain has dropped to the fifth
percentile from the twelfth percentile.
What is the fine course of remedy for this infant?
Begin a tribulation of appreciably hydrolyzed protein components for 2-four weeks. (FTT +
Weight loss)
A school-age infant has a 3-month history of stupid, aching epigastric ache that worsens with
consuming and awakens the child from sleep. A complete blood remember suggests a
hemoglobin of 8 mg/dL.
What is the subsequent step in control?
Refer for EGD. (FTT + Weight loss)
A 2-month-old toddler cries up to 4 hours each day and, in step with the mother and father, is
inconsolable at some stage in crying episodes with fists and legs referred to to be worrying and
stiff. The toddler is breastfeeding regularly but is regularly fussy for the duration of feedings. The
physical examination is regular, and the toddler is gaining weight normally.
What will the primary care pediatric nurse practitioner propose?
Eliminating sure foods from the mother's food regimen. (FTT + Weight loss)
A baby is in the hospital after swallowing a metal bead. A radiograph of the GI tract shows a 6
mm cylindrical object within the toddler's belly. The toddler is able to swallow with out issue and
isn't always experiencing pain.
What is the right route of treatment?
Have the mother and father watch for the object in the infant's stool. (Foreign body)
, A 10-yr-vintage infant has had belly pain for 2 days, which started out inside the periumbilical
vicinity after which localized to the right lower quadrant. The child vomited once today and then
skilled remedy from pain observed with the aid of an increased fever.
What is the probably prognosis?
Appendicitis with perforation
An 18-month-antique toddler has a 1 day history of intermittent, cramping stomach ache with
nonbilious vomiting. The baby is found to scream and draw up his legs at some point of pain
episodes and will become lethargic in among. The primary care pediatric nurse practitioner
notes a small amount of bloody, mucous stool inside the diaper.
What is the maximum probable analysis?
Intussusception
A faculty age infant has had belly ache for three months that happens once or twice weekly and
is associated with a headache and coffee trouble drowsing, often causing the child to live
domestic from college. The infant does no longer have vomiting or diarrhea and is gaining
weight generally. The bodily examination is ordinary.
According to Bishop, what's covered in the initial diagnostic workup for this baby?
CBC
ESR
Amylase
Lipase
UA
Abdominal ultrasound (GI Bleeding)
An adolescent is diagnosed with useful stomach pain (FAP). The baby's signs and symptoms
get worse at some stage in stressful occasions, specially with school tension.
What could be an crucial part of treatment for this child?
Teaching about the brain intestine interplay causing signs. (GI Bleeding)
