NURS 5333 GI Study Guide + Questions
with Accurate Solutions
How do you assess level of dehydration in pts with gastroenteritis?
anterior fontanel markedly sunken
eyes markedly sunken
skin cool and mottled
tenting
tachycardia & weak pulse
little or no urine output
lethargy
How do assess severe dehydration in pediatric pts?
anterior fontanel would be sunken but not markedly sunken
eyes sunken
skin cool but not mottled
skin turgor reduced but not tenting
tachycardia, pulse not weak
urine output reduced
Pt listless
Assessment findings for moderate dehydration in pediatric pts?
onset 12-36 hrs
n/v, cramps, fever, bloody stools
Signs & Symptoms of Salmonella infection?
undercooked poultry
,contaminated eggs
contaminated red meats
contaminated pets(turtles)
know was pt has recently eaten and if they travelled outside of US
Causes of Salmonella infection?
Shigella
onset is 2-4 days
abdominal pain/cramps
fever, watery diarrhea, may be bloody
tenesmus
WBCs in stool
transferred fecal oral route or homosexual transmission
major cause of pediatric morbidity & mortality
E. Coli
Onset is 10 hrs -6 days
mild cramps
no fever
, watery diarrhea
can cause hemorrhagic colitis with thrombotic thrombocytopenic purpura, or hemolytic
uremic syndrome
aka travelers diarrhea
contracted through contaminated food, water, unpasteurized milk, fruit and
vegetable juices
Campylobacter
Onset is 1-7 days
quick onset of abdominal pain and loose
stools n/v occasionally bloody stools
severe cases have high fevers, dizziness and delirium
caused by undercooked poultry, unpasteurized milk and contaminated water
Stool Culture
How to diagnose Campylobacter?
Guillain-Barre syndrome
Reactive arthritis
What are some complications of Campylobacter?
Staph Aureus
Onset is 30 mins to 6 hrs
nausea, vomiting, cramps, soft stools
occurs 2-8 hrs after eating
caused by creamy foods and processed meats and undercooked poultry
Giardia
with Accurate Solutions
How do you assess level of dehydration in pts with gastroenteritis?
anterior fontanel markedly sunken
eyes markedly sunken
skin cool and mottled
tenting
tachycardia & weak pulse
little or no urine output
lethargy
How do assess severe dehydration in pediatric pts?
anterior fontanel would be sunken but not markedly sunken
eyes sunken
skin cool but not mottled
skin turgor reduced but not tenting
tachycardia, pulse not weak
urine output reduced
Pt listless
Assessment findings for moderate dehydration in pediatric pts?
onset 12-36 hrs
n/v, cramps, fever, bloody stools
Signs & Symptoms of Salmonella infection?
undercooked poultry
,contaminated eggs
contaminated red meats
contaminated pets(turtles)
know was pt has recently eaten and if they travelled outside of US
Causes of Salmonella infection?
Shigella
onset is 2-4 days
abdominal pain/cramps
fever, watery diarrhea, may be bloody
tenesmus
WBCs in stool
transferred fecal oral route or homosexual transmission
major cause of pediatric morbidity & mortality
E. Coli
Onset is 10 hrs -6 days
mild cramps
no fever
, watery diarrhea
can cause hemorrhagic colitis with thrombotic thrombocytopenic purpura, or hemolytic
uremic syndrome
aka travelers diarrhea
contracted through contaminated food, water, unpasteurized milk, fruit and
vegetable juices
Campylobacter
Onset is 1-7 days
quick onset of abdominal pain and loose
stools n/v occasionally bloody stools
severe cases have high fevers, dizziness and delirium
caused by undercooked poultry, unpasteurized milk and contaminated water
Stool Culture
How to diagnose Campylobacter?
Guillain-Barre syndrome
Reactive arthritis
What are some complications of Campylobacter?
Staph Aureus
Onset is 30 mins to 6 hrs
nausea, vomiting, cramps, soft stools
occurs 2-8 hrs after eating
caused by creamy foods and processed meats and undercooked poultry
Giardia
