NCLEX Topics – Pediatric GI Disorders

PEDS Gi Problems

I hope your week is going well. We’re going to make a few schedule changes due to popular demand – we do listen to you guys. This week we’ll be doing PEDS GI disorders and then PEDS Eye, ear and throat. Next week we’ll start a series for those who will be taking the NCLEX this summer and some tips for getting you prepared. Still working on the details of what we want to include for that. Then mid June or July we’ll go back to the PEDS. As always questions you can contact us.

Pediatric GI Disorders

This content is in Saunders.
Sixth Edition – Page 450  – Questions are on page 464
Seventh Edition – Page– 439 Questions are on page 453

Overview –

Power points –

http://thestudentnurse.com/class_notes/pediatric-nursing/pediatric-nursing_ppt-notes-gastrointestinal-disorders/

www.austincc.edu/adnlev3/ol_pedi_gi/pp_pedi%20gi.ppt

Video – https://www.youtube.com/watch?v=c1SfLzXCOK4

Vomiting /Diarrhea –

Major concern with vomiting is dehydration, electrolyte imbalance and metabolic alkalosis. Acute diarrhea is also a dehydration concern especially in children less than five years.

Info – https://patient.info/doctor/gastroenteritis-in-children-pro

Medscape – http://emedicine.medscape.com/article/801948-overview

Cleft Lip and Cleft Palate

http://nursingcrib.com/nursing-notes-reviewer/maternal-child-health/cleft-lip-and-palate/

Important notes:
Cleft lip repair – usually 1 to 3 months old.
Cleft Palate 6 to 18 months. It may also call for several surgeries.

Medscape – http://emedicine.medscape.com/article/995535-treatment

Esophageal Atresia and Tracheoesophageal Fistula

Articles:
http://nursingcrib.com/nursing-notes-reviewer/maternal-child-health/tracheoesophageal-atresia-and-fistula/

http://emedicine.medscape.com/refarticle/186735-overview?src=refgatesrc1

Reflux Disease –

Poor weight gain is a symptom. Watch for complications.

http://emedicine.medscape.com/article/930029-overview

http://www.medscape.com/viewarticle/470698_7

Hypertrophic Pyloric Stenosis –

This stenosis normally develops in the first few weeks of life and begins with regurgitation that leads to vomiting (projectile) after feeding.

Merck – http://www.merckmanuals.com/professional/pediatrics/gastrointestinal-disorders-in-neonates-and-infants/hypertrophic-pyloric-stenosis

Parent teaching – https://www.cincinnatichildrens.org/health/p/pyloric-stenosis

Celiac Disease –

Celiac crisis can cause profuse watery diarrhea and vomiting. MAINTAIN a gluten free diet.

http://nursingcrib.com/nursing-notes-reviewer/celiac-disease/

Pt education – https://www.uptodate.com/contents/celiac-disease-in-children-beyond-the-basics

Merck – http://www.merckmanuals.com/professional/gastrointestinal-disorders/malabsorption-syndromes/celiac-disease

Appendicitis –

Abdominal pain that is most intense at McBurney’s point. https://en.wikipedia.org/wiki/McBurney%27s_point

Merck – http://www.merckmanuals.com/professional/gastrointestinal-disorders/acute-abdomen-and-surgical-gastroenterology/appendicitis

http://nursestudy.net/2015/04/23/appendicitis-pathophysiology-podcast-and-nursing-care-plan/

Hirschsprungs Disease –

Most serious complication is enterocolitis (fever, explosive watery diarrhea).

http://nursingcrib.com/nursing-care-plan/nursing-care-plan-hirschsprungs-disease-congenital-aganglionic-megacolon/

Merck – http://www.merckmanuals.com/professional/pediatrics/congenital-gastrointestinal-anomalies/hirschsprung-disease

Umbilical Hernia –

https://www.cincinnatichildrens.org/health/u/umbilical-hernia

Constipation and Encopresis –

http://www.medscape.com/viewarticle/462006_5

http://www.medscape.com/viewarticle/746563_3

Hepatitis –

https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02517

http://www.merckmanuals.com/professional/pediatrics/infections-in-neonates/neonatal-hepatitis-b-virus-hbv-infection

http://kidshealth.org/en/parents/hepatitis.html

Poisons –
1. Assess the child. (ABC’s treat if necessary).
2. Stop exposure to the poison.
3. ID the poison.
4. Prevent absorption of the poison.
5. Document
Remember treat the child first (ABC’s) then the poison.

https://medlineplus.gov/poisoning.html

Slides – https://www.slideshare.net/CaRDiosUrgeon/pediatrics-drug-poisoning

Educating – https://www.ucsfbenioffchildrens.org/education/preventing_poisioning_in_children/index.html

Intestinal Parasites

http://www.merckmanuals.com/professional/SearchResults?query=intestinal+parasites

Questions –

http://scrubsmag.com/nclex-practice-exam-set-5-pediatric-gastrointestinal-and-urinary-disorders/

 
Coming next – Eye, Ear and Throat April 27