NCLEX 준비- Peds GI

안녕하세요 예비 미국 간호사 선생님들
이번에는 Peds GI 에 대해 공부해봅시다.
이 문제는 보통 passing level입니다.

* Pyloric stenosis

Rule #1. Dehydration
- elevated Hct or BUN
- due to vomitting


Rule #2. Metabolic Acidosis
- due to vomitting


Rule #3. Assesment
- Parental feeding tachnique

• Infant feeding "Honey"?
• Botulism; Life threatening
• Never heat fomula in microwave for infant

- Compare current and birth weight

* Intissusception


Rule #1. Priority intervention = Abdominal rigidity with gaurding
- Peritonisis; Fever, rebound tenderness


Rule #2. Saline enema
- Passing normal brown stool

• Report to MD as indication of reducing disease process

* Vomitting will be resolved when the disaese is resolved

* Hirschsprung Disease


Rule #1. Foul smelling diarrhea and fever
- Enterocolitis; life threatening
- can lead to spesis and death


Rule #2. Abdominal distention
- Increased abd girth must be reported


Rule #3. "Ribbon-like" stool
- expected


Rule #4. Green-ish vomitting
- expected

Rule #5. No passing stool in 48hrs
- expected