peds - meckel's diverticulum

what are post-op considerations for surgical resection?

-*assess respiratory status / maintain airway* -provide O2 -obtain vitals -admin analgesics for pain -assess surgical site for bleeding -assess bowel sounds / function -admin IV fluids / antibiotics -npo -NG tube low continuous suction

what are the signs and symptoms of meckel's diverticulum?

-*painless rectal bleeding* -abdominal pain -bloody / mucus stools

what lab tests are done for meckel's diverticulum?

-CBC -metabolic panel

what are complications of meckel's diverticulum if NOT treated?

-GI hemorrhage -bowel obstruction

why would you need to do a blood transfusion for meckle's diverticulum?

-bc they are losing blood through stools / butt

what are pre-op considerations for surgical resection?

-blood transfusion to correct hypovolemia -admin IV fluids / electrolyte replacement -provide O2 -administer IV antibiotics -monitor blood loss in stools

what should you teach the families?

-complication of infection

what is meckel's diverticulum?

-out pouch lower small intestine

what diagnostic test is done for meckel's diverticulum?

-radionucleotide scan (most effective diagnostic)

why do they need electrolyte replacement?

-small bowel is responsible for absorbing electrolytes

what is the treatment for meckel's diverticulum?

-surgical resection

what is done during surgical resection?

-they remove the diverticulum