Term
| congenital malformations in which the esophagus terminates before it reaches the stomach and/or a fistual is present that forms an unnatural connection with the trachea |
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Definition
| esophageal atresia with tracheoesophageal fistula |
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Term
| The most commonly encountered for of esophageal atresia |
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Definition
| proximal esophageal segment terminates in a blind pouch and the distal segment is connected to the trachea or primary bronchus by a short fistula at or near the bifurcation |
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Term
| What posistion do you put the child w/EA in? |
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Definition
| supine with the head of the bed elevated |
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Term
| How often is the NG tube aspirated in a child with EA? |
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Definition
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Term
| When can the child with EA have pacifier? |
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Definition
| not until the child can m anage oral secretions |
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Term
| When should a nurse expect an infant to have EA? |
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Definition
| ANY INFANT who has an excessive amt of mucus or difficulty with secretions and unexplained episodes of cyanosis |
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Term
| When is it ideal for condition (EA) to be dx? |
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Definition
| before the initial feeding |
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Term
| If fed how would the infant with EA respond? |
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Definition
| swallow normally, but suddenly coughs and struggles and the fluid returns thru the nose and mouth |
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Term
| The nurse should give the infant suspected of EA the first feeding with what? |
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Definition
| plain water or to be present during the first feeding to observe reactions |
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Term
| What is cyanosis usually the result of in a child with EA? |
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Definition
| laryngospasm caused by overflow of saliva into the larynx from the proximal esophageal pouch and it normally clears after removal |
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Term
| Why should child with EA be placed in supine position? |
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Definition
| minimze the reflux of gastric secretions up the distal esophagus into the trachea and bronchi, especially when intra abdominal pressure is elevated during crying |
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Term
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Definition
| to rule out EA a catheter is gently passed into the esophagus meets with resistance if the lumen is blocked but passes unobstructed if the lumen is patent |
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Term
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Definition
| Aspiration of stomach contents or auscultation over the stomach as air is introduced through the catheter confirms a patent esophagus |
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Term
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Definition
| Rdiopaque fluid carefully instilled in the esophagus under fluroscopy will readily establish the diagnosis |
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Term
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Definition
| prevention of pneumonia and surgical repair of the anomaly |
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Term
| Why is a gastrostomy often performed in babies with EA and TEF? |
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Definition
| to decompress the stomah and prevent further aspiration of gastric contents by way of the fistula. |
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Term
| Any meds given to infant with EA or TEF? Why? |
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Definition
| broad-spetrum antibiotic thereapy since aspiration pneumonia is almost inevitable and appears early |
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Term
| What kind of surgial correction is used for TEF and EA? |
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Definition
| thoractomy with division and ligation of the TEF and an end to end anastomosis of the esophagus |
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