NCLEX-RN 앤클렉스알앤 소아과 질환별 정리

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Gastrointestinal Disorders
1. voluntary control over swallowing (6주이후형성)
2. stomach capacity 3 meals (2세이후형성)
3. costal margin에서 1-2cm 내에서 liver가 만져져야한다. below 3cm이면 abnormal
costal margin에서 2cm 내에서 spleen이 만져져야한다. below 2cm이면 abnormal

Vomiting
-atelectasis, pneumonia
-구토양상, aspiration, pain, abdominal cramping, dehydration, electrolyte imbalance, metabolic alkalosis
-patent airway, position to prevent aspiration, 구토양상(횟수, 양)
-projectile vomiting: pylotic stenosis (starving, hungry), ICP상승 (loss of appetite, anorexia)
-I/O check
-rehydration therapy : each vomiting 2ml/kg, each diarrhea 10ml/kg

Diarrhea =dehydration
특히, 5세이하
-stool양상, pain, abdominal cramping, dehydration, electrolyte imbalance, metabolic acidosis
-설사양상(양, 횟수), enteric isolation, skin integrity(diaper rash), I/O check, electrolyte level, dehydration sx
-rehydration therapy : mild - pedialyte, similar rehydration solution
severe - NPO, electro맞춰준다. IV keep,

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