Presentation on theme: "Ricci, pp. 1523-1525; 1537-1538. Telescoping of bowel into itself Usually occurs as a complication of another bowel disorder Occurs more often in."— Presentation transcript:
Ricci, pp ;
Telescoping of bowel into itself Usually occurs as a complication of another bowel disorder Occurs more often in infant males
Sudden onset of intermittent, severe, abdominal pain V/D—bilious vomiting indicates obstruction Currant jelly stools Lethargy Dehydration Sausage-shaped mass Watch for peritonitis
Barium enema is both diagnostic and therapeutic. May reduce intussusception. Check labs for signs of dehydration and peritonitis IVF and antibiotics If can’t be reduced by barium enema, must be reduced surgically. If necrosis has occurred, bowel resection must be done. Then routine postop nsg care.
Twisting of bowel either in utero or after birth. Can occur when bowel gets malrotated during during embryonic development. Infection and necrosis can occur with resulting peritonitis and sepsis.
Bilious vomiting Abdominal pain and distention Hypoactive bowel sounds Guarding, rebound Hematochezia, melena Shocky with tachycardia and hypotension + abd x-ray or UGI shows corkscrew appearance of bowel
IVF Antibiotics, pain meds NG tube to suction Surgery to release or resect the bowel Routine postop nursing care
Intolerance to gluten Immunologic disorder—higher incidence in those with other autoimmune diseases. Villi in intestine that normally absorb nutrients become damaged by the immune response to gluten and malnutrition results. May have genetic component. Genetic testing may be done.
Diarrhea, steatorrhea, constipation FTT, wt loss, poor muscle tone Delay of sexual maturation Abdominal distention Irritability, listlessness Nutritional deficiencies, anemia +Antibody test to gluten EGD with +intestinal bx
Elimination of gluten from diet for life Most gluten-containing foods are in the grain family Educate family about foods to avoid (p. 1538) Better if entire family adopts diet to make it easier for child to cope.