Alterations in GI function Peds

Clinical manifestations of Gastroenteritis include all of the following except? Select all that apply

-Fever -Diarrhea -Nausea/vomiting -Irritability -Anorexia -Signs of dehydration

Gastroenteritis Your nursing management would include which of the following? Select all that apply

-Intake and output/IV therapy .-Weigh diapers carefully-describe stool -Daily weight -Assessments and vital signs every 4 hours - Obtain stool samples -Hand washing: hand sanitizer or soap and water

How is gastroenteritis diagnosed?

Based on history, lab findings, stool cultures, ova and parasite stool sample

How can a health history help in determining the cause of diarrhea in infants?

By providing insights into potential causes and guiding the urgency of rehydration efforts

How can parents prevent skin issues in the diaper area of children with diarrhea?

By using a zinc-containing barrier cream and avoiding commercial baby wipes

How can care management help with constipation?

Care management can involve addressing the self-perpetuating nature of constipation and increasing fiber intake.

What is a key measure for preventing diarrhea?

Handwashing, hygiene, and careful food preparation

What is a common cause of diarrhea in children?

Pathogens such as Rotavirus, Salmonella, Shigella, and Norovirus

What precaution should be taken for symptomatic children with gastroenteritis?

Placed into contact precaution isolation and washing hands with soap and water.

What is a recommended therapeutic management for constipation?

Promoting regular bowel movements is a recommended therapeutic management for constipation.

Why are juice and sports drinks not recommended for rehydration therapy in children with diarrhea?

The high sugar content in these beverages can worsen diarrhea by pulling water into the GI tract

What is the goal of treatment in gastroenteritis?

To correct fluid and electrolyte imbalances

Why is perianal skin care important in children with frequent loose stools?

To prevent secondary skin infection in the diaper area

What contributes to constipation in toddlers?

Toddlers' preference for starchy carbs over fruits and veggies can contribute to constipation.

What can cause acute gastroenteritis?

Viral, bacterial, or parasitic infections.

best way to increase motility is

to add fiber to the diet, in young children could be pear or apple juice, Once they are on solids, pureed or raw fruits and veggies are the best form of natural fiber.

Stomach capacity increases

•At 12 months: 360 ml or 8 ounces •At 24 month: 500 ml or three time a day feeding capacity •Intestinal motility increases •Enzyme secretion increases •Liver matures over first year of life •By age 2: Three meals a day with excretory control

signs and sx of GI disorders

•Inability to gain weight or weight loss •Vomiting •Diarrhea •Constipation •Lack of energy - lethargy •Abdominal distention •Abdominal tenderness

What is the therapeutic management of disorders of motility vomiting?

Detect and treat cause, prevent complications, provide fluids, administer antiemetic in some cases

When does constipation commonly occur in newborns?

During the newborn period, with the first meconium passed in 24 to 36 hours.

Gastroenteritis Nursing Management Your nursing management would include which of the following? Select all that apply

Education, skin care

What are infants and small children with gastroenteritis at risk for?

Dehydration and hypovolemic shock if fluid and electrolyte losses are not replaced.

What is gastroenteritis?

An inflammation of the stomach and intestines that may be accompanied by vomiting and diarrhea.

What is a key aspect of therapeutic management of diarrhea?

Assess fluid and electrolytes

What environmental factor can lead to constipation in childhood?

In childhood, environmental factors and attempts to withhold stool can lead to constipation.

What can infant constipation be related to?

Infant constipation can be related to diet, with it being less common in breastfed babies but may still occur, especially once finger foods are introduced.

What is a common cause of gastroenteritis in vaccinated children?

Norovirus.

What are the care management steps for disorders of motility vomiting?

Observe and report vomiting, reduce vomiting, prevent aspiration

What is the first step in managing mild to moderate dehydration in gastroenteritis?

Oral rehydration therapy

What is a recommended approach for rehydration therapy in children with diarrhea?

Rehydrate with clear liquids and advance the diet as tolerated

What is recommended to prevent rotavirus gastroenteritis in children?

Rotavirus vaccine.

What is a leading cause of severe gastroenteritis in children under 5 worldwide?

Rotavirus.

Infants have a deficiency of several enzymes

amylase (which digests carbohydrates), lipase (which enhances fat absorption), and trypsin (which catabolizes protein into polypeptides and some amino acids). dont aid in digestion until 4-6 months- abdominal distention, gas