Short bowel Syndrome : p. 739 1 What i it? 2. When do you get overgrowth of bacteria 3. Is it the same in children?Why? 4. Goals 5. Complications? Cholestasis-why?

1.Intestines are not as long was they should be -Complications: Malabsorption,alteration in body requirements LESS THAN… -Child may be taking in the right amount of food but they are not growing Nurse: -We need to increase caloric intake and get them nutrient dense foods 2. Because of the shortness of the bowel and the bowel still continues to produce that bacteria 3. Not the same in all children… depends on where the bowel is short 4. Nurtrition is main goal… So that they GROW . -What nutritional variances can we implement so the child can grow -HIGH CALORIC FOODS, HIGH NUTRITION 5. Complications of The bile flow is reduced either because the liver cannot make bile properly or because it cannot get it out of the liver cells into the bile ducts, or both. The bile ducts themselves may also be abnormal reducing the flow of bile through them. More test answers on https://studyhippo.com/chapter-20-nursing-care-of-child-with-gi-disturbances/

Medications to manage short bowel syndrome:

Antibiotics to contorl bacterial growth -Vitamin and mineral supplementation to replace lost vitamins -Antidiarrheal agents such as loperamide and gastric acid suppressive medications to decrease stool output -TPN for extened periods for adeqate growth -Progression to enternal feeding may occur extremely slowly More test answers on https://studyhippo.com/chapter-20-nursing-care-of-child-with-gi-disturbances/

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What is Short Bowel Syndrome?

Short Bowel Syndrome (SBS) is a disorder of the digestive system that occurs when the small intestine is damaged or removed due to surgery. This condition can cause malabsorption of vital nutrients and fluids, resulting in severe malnutrition and dehydration. Without proper treatment, people with SBS can suffer from severe abdominal pain, nausea and vomiting, as well as electrolyte imbalances. In addition, individuals may experience poor appetite, weight loss, fatigue and poor growth.The most common cause of SBS is extensive removal of small intestine during surgery to treat Crohn’s disease or traumatic injuries. Other causes include congenital abnormalities such as intestinal atresia or volvulus; diseases such as radiation enteritis; obstruction caused by tumors; and necrotizing enterocolitis in infants. The amount of bowel that needs to be removed for SBS to occur varies but usually involves more than half the small intestine being removed. The treatment for Short Bowel Syndrome focuses on replacing lost nutrients through either enteral nutrition (tube feedings) or parenteral nutrition (intravenous). Additionally medications may be prescribed to help decrease diarrhea symptoms such as loperamide or codeine phosphate derivatives. Surgery may also be necessary if the intestines need reconnecting in order for nutrient absorption to occur properly again. In some cases intestinal transplantation is an option however this procedure carries a high risk due to its complexity and potential complications. It’s important for individuals with Short Bowel Syndrome to adhere closely to their recommended treatments in order prevent further complications that could arise from malnutrition or dehydration due to improper absorption of essential nutrients like vitamins, minerals and proteins.