GI disorders: intussusception, cleft lip, failure to thrive

what is key characteristic of intussusception

telescoping intestinal track that causes obstruction

intussusception

acute life threatening condition

suspected findings of intussusception

intermitten, cramping abdominal pain, inconsolable cry, abdominal mass, vomiting

stool of intussusception

red currant-jelly stools; blood and mucus

diagnostic and therapeutic procedure

air or barium enema; helps pull intestine back into place

when is surgery indicated for intussusception

reoccurring cases

intussusception pre op

NPO, NGT, IV fluids

when does cleft occur

during pregnancy, seen on ultrasound

care team of cleft patients involve

crainofacial centers

cleft lip repair age

2-3 months of age

cleft palate repair

6-12 months of age

major risk of child developing cleft lip/palate

lack of folate in moms diet

how to prevent injury to cleft suture line

restraints, side laying or supine, avoid putting anything in mouth

unrepaired cleft palate

risk for aspiration, breastfeeding, one way valve feeding

unrepaired cleft lip

breastfeeding, cleft lip nipples

cleft complications

ear infection and hearing loss, speech/language impairment, dental problems

failure to thrive

inadequate growth resulting from the inability to take in or retain nutrition

FTT perimeter

weight that falls below the 5th percentile

organic FTT

caused by physical illness

examples of organic FTT

FERD, CF, CP, hyperthyroidism, congenital heart defect, prematurity

nonorganic FTT

definable cause that is to related to disease

examples of nonorganic FTT

maternal depression, family stress, parental neglect, feeding resistance

number one priority for FTT

reverse malnutrition

goal for FTT growth

two-three times the average rate for that age

expected findings for patients with FTT

no fear of strangers, minimal smiling, poor muscle tone, malnourished appearance, feeding disorder

nursing care for FTT patients

observe feedings and parent interactions with infant, accurate assessment of height and weight

FTT nutrition management

higher cal/oz formula, increase calories

biggest goal with FTT patients

weight gain

encopresis

soiling of fecal contents into under where beyond the age of expected toilet training

encopresis cause

chronic constipation, holding stool

expected findings with encopresis

soiled clothing and fecal odor, anal irrigation, social withdrawal, unitary incontanice

removing encopresis impaction

enemas, stool softeners, laxative regimine