TEF

¡Supera tus tareas y exámenes ahora con Quizwiz!

Data collection

1. Frothy saliva in the mouth and nose; drooling 2. Coughing, choking during feedings, and unexplained syanosis as result of respiratory distress (also called the 3 C's) 3. Regurgitation and vomitin 4. Abdominal distention 5. Inability to pass a smalll-gauge (#5 French) orogastric feeding tube via mouth into stomach.

Preoperative interventions

1. Infant may be placed in incubator or radiant warmer, and humidified O2 administered; intubation and mechanical ventilation may be necessary if respiratory distress occurs. 2. Maintain NPO status 3. Maintain IV fluids; as prescribed 4. Suction accumulated secretions from mouth and pharynx 5. A double-lumen catheter is placed into the upper esophageal pouch and attached to intermittent or continuous low suction to keep the pouch empty of secretions; it is irrigated w/normal saline, to prevent clogging 6. Maintain infant in an upright position to facilitate drainage and to prevent aspiration of gastric secretions. 7. A gastrostomy tube may be placed and is left open so that air entering the stomach through the fistula can escape, thus minimizing the danger of regurgitation 8. Administer broad-spectum antibiotics, because of high risk for aspiration pneumonia.

Description

1. the esophagus terminated before it reaches the stomach, a fistula is present that forms an unnatural connection w/the trachea, or both 2. Condition causes oral intake to enter the lungs or a large amount of air to enter the stomach; choking, coughing, and severe abdominal distention can occur. 3. Aspiration pneumonia and severe respiratory distress will develop, and death will occur without surgical intervention 4. Treatment include maintenance of a patent airway, prevention of pneumonia, gastric or blind-pouch decompression, supportive therapy, and surgical repair.

366 Nurse reviews record of an infant who is seen in clinic. Nurse notes that a diagnosis of esophageal atresia w/tracheoesophageal fistula (TEF) is suspected. Nurse expects to note which most likely clinical manifestation of this condition in the medical record?

Choking w/feedings. R: Any chil who exhibits the 3C's - coughing and choking during feedings and unexplained cyanosis - should be suspected of having TEF-tracheoesophageal fistula.


Conjuntos de estudio relacionados

Accounting Chapter #5 Vocabulary

View Set

SageVantage MARK3330 Business Ethics Chapter 8 Test

View Set

Senior Business Class Flash Cards

View Set

Quiz Five CEC Business (Key Terms)

View Set

Fit and Well Cardiovascular chapter 11

View Set

Chapter 10 Math Formulas and example problems

View Set