Exam Three Study Guide (NR 322)

NR 322 – Exam Three Study Guide 1. Review Hirschsprung Disease. What is it? Complications? Treatments? Absence of parasympathetic ganglionic cells (help sphincters relax) in a segment of the colon, usually at the distal end of the large intestine. The lack of nerve innervation causes an absence of, or alteration in, peristalsis in the affected part of the colon (have trouble relaxing to have BM). MAJOR hallmark sign is absence of that first stool as newborn, called meconium. Congenital disorder Disease progression causes most complications. Complications include severe diarrhea, bowel perforation, sepsis, incontinence, stricture formation, enterocolitis, and hypovolemic shock. Treatment includes surgery to remove the part of the colon without the functioning nerves. 2. Review Crohn’s disease vs. ulcerative colitis. Similarities vs. differences? Both inflammatory bowel diseases. 3. Management of trauma in children – goals of care, signs of renal trauma, cerebral trauma,etc. ABCs!!!!