Nursing Management of Gluten-Free Diet for Children

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Questions and Answers

What is the primary reason for advising parents to read labeled ingredients in a child's diet?

To ensure proper nutrition

To identify sources of high fiber

To identify hidden sources of gluten (correct)

To monitor sugar intake

What is the recommended feeding position for an infant with a cleft lip or palate?

Supine position

Prone position

Lateral position

Upright position (correct)

What is the surgical procedure for treating cleft lip?

Palatoplasty

Orthognathic surgery

Cheiloplasty (correct)

Rhinoplasty

What is the primary goal of palatoplasty in treating cleft palate?

To maximize speech production and growth of midface Signup and view all the answers

What is the term used to describe short stature resulting from a genetic or medical condition?

Dwarfism Signup and view all the answers

What is a common etiological factor for cleft lip and palate?

Teratogens and inheritance Signup and view all the answers

What is the recommended post-operative position for an infant with cleft lip?

Avoid prone position Signup and view all the answers

What is the specialized bottle used for feeding an infant with a cleft lip or palate?

Haberman bottle Signup and view all the answers

What is the average height of an adult with dwarfism?

4 feet 10 inches Signup and view all the answers

What is the primary cause of gigantism in children?

Overproduction of growth hormone by the pituitary gland Signup and view all the answers

What is the name of the hormone responsible for regulating water reabsorption in the kidneys?

Antidiuretic hormone Signup and view all the answers

What is the preferred treatment for gigantism?

Transsphenoidal surgery Signup and view all the answers

What is the primary test used to diagnose brain tumors?

Fluoroscopy (x-ray) Signup and view all the answers

What is a physical characteristic of disproportionate dwarfism?

Short arms and legs with wide separation Signup and view all the answers

What is the name of the mutation in a tumor suppressor gene that increases the risk of brain tumors?

TP53 Signup and view all the answers

What is the name of the disorder caused by oversecretion of antidiuretic hormone?

Syndrome of Inappropriate Antidiuretic Hormone Signup and view all the answers

What is a symptom of Syndrome of Inappropriate Antidiuretic Hormone?

Edema Signup and view all the answers

What is the name of the type of brain tumor that arises from cerebral hemispheres?

Gliomas Signup and view all the answers

What is a diagnostic test used to diagnose gigantism?

All of the above Signup and view all the answers

What is the name of the chemotherapy regimen that includes Doxorubicin, Bleomycin, Vinblastine, and Dacarbazine?

ABUD Signup and view all the answers

What is the primary nursing management for lymph node biopsy?

Secure consent of patient Signup and view all the answers

What is the purpose of fluoroscopy (x-ray) in diagnostic management?

To assess if the patient is pregnant Signup and view all the answers

What is the primary consideration for patients taking metformin before undergoing fluoroscopy (x-ray)?

Withhold metformin for 48 hours after the procedure Signup and view all the answers

What is the purpose of restricting food and fluids before excisional biopsy?

To facilitate general anesthesia Signup and view all the answers

Study Notes

Gluten-Free Diet Alternatives

Alternative sources of carbohydrates: rice and corn
Hidden sources of gluten: bread, cake, cookies, crackers, donuts, pies, spaghetti, pizza, hotdogs, luncheon meat, and hamburger
Importance of reading labeled ingredients to avoid gluten
High-fiber foods to avoid during inflamed bowels: nuts, raisins, raw vegetables, and fruits with skin

Cleft Lip and Cleft Palate

Cleft Lip: incomplete fusion of embryonic structure surrounding the primitive oral cavity
Cleft Palate: failure of primary and secondary plates to fuse during embryonic development
Etiology: teratogens, inheritance, drugs, folic acid deficiency, maternal smoking, and alcoholic consumption
Diagnostics: apparent at birth, cleft lip can be diagnosed in utero through ultrasound (14-16 weeks), palpation of the palate
Therapeutic management: surgery (cheiloplasty and palatoplasty)
Nursing management: feeding in an upright position, use of Haberman bottle, post-op care (avoid prone position, elbow restraints, and use of suction)

Metabolic and Endocrine Problems

Dwarfism: short stature due to genetic or medical condition, adult height of 4'10" or less
Types of dwarfism: disproportionate and proportionate
Clinical manifestations: average size trunk, short arms and legs, short fingers, limited elbow mobility, and disproportionately large head
Gigantism: abnormal growth in children, prominent in height, caused by pituitary gland tumor
Clinical manifestations: larger than average children, large hands and feet, thick toes and fingers, prominent jaw and forehead, and excessive sweating
Diagnostics: IGF-1, growth hormone blood test, MRI scan
Therapeutic management: transspenoidal surgery, bromocriptine and cabergoline drugs

Syndrome of Inappropriate Antidiuretic Hormone

Oversecretion of posterior pituitary antidiuretic hormone
Causes hyponatremia in pediatric population
Clinical manifestations: edema, anorexia, nausea, vomiting, and irritability
Diagnostics: lymph node biopsy, needle aspiration, and excision, fluoroscopy (x-ray)
Therapeutic management: watchful waiting, chemotherapy, and external radiation

Lymphoma and Targeted Therapy

Ann Arbor Staging System: stages 1-4, involvement of lymph nodes and extralymphatic sites
Targeted therapy: ABUD, BEACOPP, CHOP, CVP, and COPP
Nursing management: lymph node biopsy, secure consent, note allergies, and watch for bleeding and infection

Brain Tumors

Definition: tumors arising from any cell within the cranium
Risk factors: genetics (Li-Fraumeni Syndrome, neurofibromatosis), cranial irradiation, and immunosuppression
Types of brain tumors: gliomas (arises from cerebral hemispheres)

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Description

Learn how to help children adhere to a gluten-free diet, including identifying hidden sources of gluten and avoiding high-fiber foods during inflammation.