Families exam 5 key terms
celiac disease clinical manifestations *** steatorrhea, abdominal bleeding, weight less than expected,
cramping, might have rickets
celiac disease nutritional interventions *** - gluten-free diet (no wheat, rye, barley)
- high protein, high calorie, low fat
Meckel's diverticulum pre/post op care *** - preop: may need blood transfusions to correct
hypovolemia
- postop: NPO, NG tube to low continuous suction
rotavirus clinical manifestations *** fever, diarrhea (foul-smelling/watery) for 5-7 days, vomiting for 2
days
rotavirus interventions *** - contact precautions
- avoid rectal temps
rehydration therapy *** - start with oral replacement solution (ORS) of 75-90 sodium mEq/L at 40-50
mL/kg over 4 hours
rotavirus nutritional interventions *** avoid fruit juices, carbonated sodas, gelatin, caffeine,
chicken/beef broth, bananas, rice, applesauce, and toast (BRAT)
basically nothing high in carbs, sugary, high in sodium, or caffeinated
rotavirus teaching *** - inform school/daycare
- use commercially prepared ORS when child has diarrhea
, - wash child's clothes and linens; change both daily
dehydration interventions/plan of care/rehydration therapy *** oral rehydration is attempted first
- mild: 50mL/kg rehydration fluid q 4-6 hours
- moderate: 100mL/kg q 4-6 hours And THEN isotonic solution at 20ml/kg IV bolus
dehydration assessment and findings *** sunken anterior fontanel
cleft lip and palate post-op care *** - avoid having infant suck on a nipple/pacifier
- avoid spoons, forks, other objects the infant may bring into the mouth that could damage incision site
- avoid straws, tongue depressors, hard pacifiers, rigid utensils, hard-tipped sippy cups, or suction
catheters after repair
- elbow restraints may be used to keep the infant from damaging repair site
cleft lip nutritional interventions *** - encourage breastfeeding
- use a wide-based nipple for bottle-feeding
- squeeze the infants cheeks together during feeding to decrease the gap
cleft palate/ cleft lip and palate nutritional interventions *** - position upright while cradling the head
- use a bottle with a 1 way valve and a specially cut nipple
- burp the infant frequently
GERD nursing plan of care *** - give PPI's (-prazole)
- sit them up after meals (HOB to 30 degrees)
GERD nutritional interventions *** - small frequent meals
celiac disease clinical manifestations *** steatorrhea, abdominal bleeding, weight less than expected,
cramping, might have rickets
celiac disease nutritional interventions *** - gluten-free diet (no wheat, rye, barley)
- high protein, high calorie, low fat
Meckel's diverticulum pre/post op care *** - preop: may need blood transfusions to correct
hypovolemia
- postop: NPO, NG tube to low continuous suction
rotavirus clinical manifestations *** fever, diarrhea (foul-smelling/watery) for 5-7 days, vomiting for 2
days
rotavirus interventions *** - contact precautions
- avoid rectal temps
rehydration therapy *** - start with oral replacement solution (ORS) of 75-90 sodium mEq/L at 40-50
mL/kg over 4 hours
rotavirus nutritional interventions *** avoid fruit juices, carbonated sodas, gelatin, caffeine,
chicken/beef broth, bananas, rice, applesauce, and toast (BRAT)
basically nothing high in carbs, sugary, high in sodium, or caffeinated
rotavirus teaching *** - inform school/daycare
- use commercially prepared ORS when child has diarrhea
, - wash child's clothes and linens; change both daily
dehydration interventions/plan of care/rehydration therapy *** oral rehydration is attempted first
- mild: 50mL/kg rehydration fluid q 4-6 hours
- moderate: 100mL/kg q 4-6 hours And THEN isotonic solution at 20ml/kg IV bolus
dehydration assessment and findings *** sunken anterior fontanel
cleft lip and palate post-op care *** - avoid having infant suck on a nipple/pacifier
- avoid spoons, forks, other objects the infant may bring into the mouth that could damage incision site
- avoid straws, tongue depressors, hard pacifiers, rigid utensils, hard-tipped sippy cups, or suction
catheters after repair
- elbow restraints may be used to keep the infant from damaging repair site
cleft lip nutritional interventions *** - encourage breastfeeding
- use a wide-based nipple for bottle-feeding
- squeeze the infants cheeks together during feeding to decrease the gap
cleft palate/ cleft lip and palate nutritional interventions *** - position upright while cradling the head
- use a bottle with a 1 way valve and a specially cut nipple
- burp the infant frequently
GERD nursing plan of care *** - give PPI's (-prazole)
- sit them up after meals (HOB to 30 degrees)
GERD nutritional interventions *** - small frequent meals
