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Common GI Problems in Babies. Dec 23,2011. GERD. Growing premie with frequent episodes of desaturation, apnea, bradycardia, cynosis FT, baby, vomiting, some with FTT. Management. Position Thickened formula with rice cereal Meds: H2 blocker: ranitidine, famotidine Acid pump inhibitor:
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Common GI Problems in Babies Dec 23,2011
GERD • Growing premie with frequent episodes of desaturation, apnea, bradycardia, cynosis • FT, baby, vomiting, some with FTT
Management • Position • Thickened formula with rice cereal • Meds: • H2 blocker: ranitidine, famotidine • Acid pump inhibitor: • Sphincter: • Gastric wall protection:
TEF • “frothy secretion” • First feeding: choking, coughing, regurg • Pneumonia • Respiratory distress • Isolated or syndrome
Polyhydramnio • Xray : shows OG,NG tube
Pre-op • Prevent aspiration pneumonia; sump suction • NPO • r/o sepsis • 2 D echo: VSD • Identify asstd malformation
Post-Op care • End to end anastomosis • Paralyze patient x 7 days • Vent support: CPAP? • Nutritional support: TPN • Flouroscopy: prior to po feeds • Complication: GERD, stricture,poor motility, fistula tracheomalacia
Malrotation • Bilious vomiting in the first week of life
Pyloric stenosis • Non bilous vomiting: projectile • Failure to thrive • Hypochloremic metabolic alkalosis
Pre-op Care • Correct fluid and electrolyte imbalance • Acid base imbalance • Post: feed patient PO once awake
Abdominal Wall Defect • Polydramnio • Increased AFP
Gastroschisis • Viscera has no cover • Usually on the right
Pre-op: silo bag • Prophylactic antibiotic
omphalocoele • Covering of the viscera • As part of a syndrome