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vDiseases: gastroenteritis, diarrhea, fever,etal.
vVirus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
Case Report
Knowledge of Intussusception
Intussusception
Definition
Etiology
Symptoms & Signs
Knowledge of Intussusception--Definition
What is intussusception?
ERX-Ray:Intussusception unable to reset
Case Report
Admission Diagnosis:
Acute Intussusception
Physical Examination:
T:36.9℃
P:110/min
R:20/min
Wt:7.5kg
Case Report
Therapeutic Management
Nonsurgical Therapy Surgical Therapy
Nonsurgical Therapy
Air Enema Barium Enema
Nonsurgical Therapy-B--arium Enema
Nonsurgical Therapy - Barium Enema
❖Basic therapy. ❖Dietary guidance. ❖Clinical observation closely.
Surgical Therapy
Surgical Therapy
❖ Pure manual reduction
❖ Intestinal anastomosis
❖ Eterostomy
Knowledge of Intussusception--Etiology
Predisposing factors:
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
Nonsurgical Therapy--A- ir Enema
2.Procedure
Restrained the patient, inserted the Foley catheter into rectum, inflated the
balloon.
1.before air clysis
2.head of intussusceptum 3.reduction occur located in the hepatic
Dietቤተ መጻሕፍቲ ባይዱry alteration
Knowledge of Intussusception--Etiology
•The complementary food of children can not be changed too soon. •It is supposed to be transformed step by step.
Knowledge of Intussusception
ETIOLOGY
Knowledge of Intussusception--Etiology
Incidence:
vAge: 80%<2 years old, most common in infants aged 4-10 months.
vSex: the ratio of the male-to-female is approximately 3:1.
Dietary alteration
Knowledge of Intussusception--Etiology
Predisposing factors:
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
Intussusception is a medical condition in which a part of the intestine has invaginated into another section of intestine.
Knowledge of Intussusception--Definition
flexure of the colon
5.the filling of numerous loops of intestine
4.reduction go on
Nonsurgical Therapy---Air Enema
3. Signs of Complete Reduction
❖Free flow of air into several loops of small bowel with simultaneous expulsion of feces.
2.Nursing Diagnosis
❖Pain ❖Anxiety ❖Hight risk for fluid volume deficit ❖Potencial complicaion: shock
Surgical Therapy
3.Postoperative Nursing Intervention
vSeason: the seasonal peak is in spring and summer.
Knowledge of Intussusception--Etiology
v What’s the reason of the disease??
v Why it happens to infants mostly??
Virus infection
Knowledge of Intussusception--Etiology
❖ Intussusception causes have not clearly established or understood.
❖ They can include infections, anatomical factors, and altered motility.
vDiseases: gastroenteritis, diarrhea, fever, et al.
vVirus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
Knowledge of Intussusception
Symptoms and Signs
1、General appearance 2、Paroxysmal crying 3、Bilious vomiting 4、Red currant jelly stool 5、Sausage-shaped mass
1.Indications
❖ Intussusception presenting <48 hours. ❖ Good general appearance. ❖ Without abdominal distention, high temperature
and toxicosis .
ETIOLOGY
Case Report
BIOLOGICAL DATA:
Name ：Chen Jingya Sex： female Age： 7-month-old Date of Admission：2015-04-23 14:40
Case Report
Chief Complaint：
paroxysmal crying vomiting bloody stool
Nonsurgical Therapy--B-arium Enema
Nonsurgical Therapy -Barium Enema
complication
chemical peritonitis
Nonsurgical Therapy--A- ir Enema
Nonsurgical Therapy - Air Enema
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
vDiseases: gastroenteritis, diarrhea, fever, et al.
Children intussusception
Intussusception is an common abdominal emergency in children. It is one of the most common causes of abdominal obstruction in infants.
Laboratory examination:
routine blood roution urine full biochemical full blood coagulation test HIV,HBV,HCV,RPR
Date of Intussusception surgery:2015-04-23 Date of discharge:2015-05-05
fever (acute upper reappiratory tract infection)
lost its normal function /enterospasm
Disease
Knowledge of Intussusception--Etiology
Predisposing factors:
❖Studies and analysis have not conclusively established this.
Knowledge of Intussusception--Etiology
❖A review of sparse data on the possible association: the virus & intussusception has not demonstrated until very recently.
NURSING ROUND
Intussusception
Pediatric Surgical Department 2015.9.25
Contents
1 Case Report 2 Knowledge of Intussusception 3 Therapeutic Management 4 Health Guidance for Discharged Patients
❖Stop crying, be quiet. ❖Disappear of the abdominal mass.
Nonsurgical Therapy--A- ir Enema
4. Nursing Care of Post- air enema
❖Carbon test: take 0.5-1g activated carbon orally, appearing in stool 6-8 hours later.
vVirus infections: adenovirus, rotavirus,reovirus, echovirus.
Knowledge of Intussusception--Etiology
❖Researchers suspect that infectious agents: rotavirus&adenovirus.
Surgical Therapy
1.Surgical Indication
❖Enema failure. ❖Intussusception occuring more than 48-72
hours. ❖Intestinal necrosis.
❖Intestinal perforation.
Surgical Therapy
vVirus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
Case Report
Knowledge of Intussusception
Intussusception
Definition
Etiology
Symptoms & Signs
Knowledge of Intussusception--Definition
What is intussusception?
ERX-Ray:Intussusception unable to reset
Case Report
Admission Diagnosis:
Acute Intussusception
Physical Examination:
T:36.9℃
P:110/min
R:20/min
Wt:7.5kg
Case Report
Therapeutic Management
Nonsurgical Therapy Surgical Therapy
Nonsurgical Therapy
Air Enema Barium Enema
Nonsurgical Therapy-B--arium Enema
Nonsurgical Therapy - Barium Enema
❖Basic therapy. ❖Dietary guidance. ❖Clinical observation closely.
Surgical Therapy
Surgical Therapy
❖ Pure manual reduction
❖ Intestinal anastomosis
❖ Eterostomy
Knowledge of Intussusception--Etiology
Predisposing factors:
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
Nonsurgical Therapy--A- ir Enema
2.Procedure
Restrained the patient, inserted the Foley catheter into rectum, inflated the
balloon.
1.before air clysis
2.head of intussusceptum 3.reduction occur located in the hepatic
Dietቤተ መጻሕፍቲ ባይዱry alteration
Knowledge of Intussusception--Etiology
•The complementary food of children can not be changed too soon. •It is supposed to be transformed step by step.
Knowledge of Intussusception
ETIOLOGY
Knowledge of Intussusception--Etiology
Incidence:
vAge: 80%<2 years old, most common in infants aged 4-10 months.
vSex: the ratio of the male-to-female is approximately 3:1.
Dietary alteration
Knowledge of Intussusception--Etiology
Predisposing factors:
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
Intussusception is a medical condition in which a part of the intestine has invaginated into another section of intestine.
Knowledge of Intussusception--Definition
flexure of the colon
5.the filling of numerous loops of intestine
4.reduction go on
Nonsurgical Therapy---Air Enema
3. Signs of Complete Reduction
❖Free flow of air into several loops of small bowel with simultaneous expulsion of feces.
2.Nursing Diagnosis
❖Pain ❖Anxiety ❖Hight risk for fluid volume deficit ❖Potencial complicaion: shock
Surgical Therapy
3.Postoperative Nursing Intervention
vSeason: the seasonal peak is in spring and summer.
Knowledge of Intussusception--Etiology
v What’s the reason of the disease??
v Why it happens to infants mostly??
Virus infection
Knowledge of Intussusception--Etiology
❖ Intussusception causes have not clearly established or understood.
❖ They can include infections, anatomical factors, and altered motility.
vDiseases: gastroenteritis, diarrhea, fever, et al.
vVirus infections: adenovirus, rotavirus, reovirus, echovirus.
Knowledge of Intussusception--Etiology
Knowledge of Intussusception
Symptoms and Signs
1、General appearance 2、Paroxysmal crying 3、Bilious vomiting 4、Red currant jelly stool 5、Sausage-shaped mass
1.Indications
❖ Intussusception presenting <48 hours. ❖ Good general appearance. ❖ Without abdominal distention, high temperature
and toxicosis .
ETIOLOGY
Case Report
BIOLOGICAL DATA:
Name ：Chen Jingya Sex： female Age： 7-month-old Date of Admission：2015-04-23 14:40
Case Report
Chief Complaint：
paroxysmal crying vomiting bloody stool
Nonsurgical Therapy--B-arium Enema
Nonsurgical Therapy -Barium Enema
complication
chemical peritonitis
Nonsurgical Therapy--A- ir Enema
Nonsurgical Therapy - Air Enema
caused by disorder of the intestinal peristalsis, such as:
vDietary alteration: complementary solid food.
vDiseases: gastroenteritis, diarrhea, fever, et al.
Children intussusception
Intussusception is an common abdominal emergency in children. It is one of the most common causes of abdominal obstruction in infants.
Laboratory examination:
routine blood roution urine full biochemical full blood coagulation test HIV,HBV,HCV,RPR
Date of Intussusception surgery:2015-04-23 Date of discharge:2015-05-05
fever (acute upper reappiratory tract infection)
lost its normal function /enterospasm
Disease
Knowledge of Intussusception--Etiology
Predisposing factors:
❖Studies and analysis have not conclusively established this.
Knowledge of Intussusception--Etiology
❖A review of sparse data on the possible association: the virus & intussusception has not demonstrated until very recently.
NURSING ROUND
Intussusception
Pediatric Surgical Department 2015.9.25
Contents
1 Case Report 2 Knowledge of Intussusception 3 Therapeutic Management 4 Health Guidance for Discharged Patients
❖Stop crying, be quiet. ❖Disappear of the abdominal mass.
Nonsurgical Therapy--A- ir Enema
4. Nursing Care of Post- air enema
❖Carbon test: take 0.5-1g activated carbon orally, appearing in stool 6-8 hours later.
vVirus infections: adenovirus, rotavirus,reovirus, echovirus.
Knowledge of Intussusception--Etiology
❖Researchers suspect that infectious agents: rotavirus&adenovirus.
Surgical Therapy
1.Surgical Indication
❖Enema failure. ❖Intussusception occuring more than 48-72
hours. ❖Intestinal necrosis.
❖Intestinal perforation.
Surgical Therapy