NUR 252 Mark K Nclex Pediatric GI Practice Material

CHAPTER 6
PEDIATRIC GI
Written by: Dr. Zeeshan Hoodbhoy, M.D.


Concepts about GI Tract Dysfunction
Ischemia, inflammation, or infection →
compromised integrity

Can lead to:
perforation → peritonitis → sepsis

General GI Tract Dysfunction
Treatment (NIPPA)
1. NPO → rest GI tract & in case of emergency surgery
2. IV fluids
3. Pain medications (PRN) - if needed
4. Proton pump inhibitors (PPI) → reduce stomach acid PRN
5. Anti-Emetics - PRN




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, Intussusception
Telescoping of bowel → GI tract that folds back into itself
→ ischemia and “sausage shaped mass”
Ischemia → perforation → peritonitis → sepsis

Intussusception Signs and Symptoms
Type of potential questions: SATA
Sausage shaped mass
Currant jelly stools (strawberry jam)
bloody, mucousy stools
N/V → bilious vomit → the food has passed the
stomach
Abdominal pain

Intussusception
Treatment and
Diagnosis
Air enema (pneumatic
enema) → visualize and
push the telescoped
portion through
Freebie question
Further Teaching
Further Intervention
NPO, IV fluids, pain medications (PRN), proton pump
inhibitors (PRN), Anti-Emetics (PRN)


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