[Pediatrics] Intussusception : 장중첩입니다..!!

Ileum telescopes into cecum 

-> Pain, obstuction, edema

-> compression of blood vessels

-> bowel ischemia

-> rectal bleeding (currant jelly stools)

 

Pathology

Occurs when a segment of the intestine telescopes into an adjacent segment.

-leads to obstruction, inflammation, and edema

-can lead to life-threatening bowel perforation and peritonitis

-most common site: ileocecal valve.

-cause unknown in most paitents

 

Clinical features

-sudden episodes of abdominal pain

-pain free and normal between episodes.

-inconsolable crying

-bilious vomiting

-sausage-shaped mass palpated in the right mid or upper abdomen.

-stool's consistency and color change (red, jelly-like stools) : 

-diagnosis: abdominal ultrasound

 

 

Nursing intervention

priority is to restore bowel to normal position and function quickly

-Nonsurgical reduction using hydrostatic or air enema

-analgesics

-IV fluids

-NPO

-Nasogastric decompression

-Surgery

 

 

Inappropriate answers

1. The likelihood of intussusception reoccurring is low after treatment - not high risk of recurrence.

2. stool culture collection is not indicated. b/c intussusception is not caused by bacterial infection.

3. hyperosmotic lavatives are not indicated for clients with bowel obstruction and inflammation. b/c of the risk for increased intestinal pressure and perforation.