Careful intro of enteral nutrition...but advancement is from IV-NG/Gt-PO SLOWLY
Monitor wt gain
Promote normal G&D
Meds for child with SBS
Vitamins for child with SBS
What is given to a child with SBS to stimulate intestinal mucosal growth?
glutamine and growth horomones
What is Celiacs disease?
when a person eats wheat, rye, oats and barley and the small intestine breaks it down in to gliadin, but this cant be digested. An accumulation of glutamine occurs which has a toxic effect on the mucosal cells.
What is the result of the toxic accumulation of glutamine with celiacs disease
villi atrophy causing malabsorption of fat, calories, carbs and vitamins.
S/S of celiacs crisis
severe diarrhea--foul smelling
change in VS
Dx of celiacs
IgA anti tissue transglutaminase antibody test
Nursing assessment of a child with celiacs disease
can see as early as 4-6 mo...upon addition of gluten in to diet