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Refers to a generalized
bacterial infection in the
bloodstream.
EARLY SEPSIS
MARASMUS
KWASHIORKOR
MARASMUS
FEEDING
DIFFICULTIES
REGURGITATION
AND
“SPITTING UP”
REGURGITATION
AND “SPITTING UP”
REGURGITATION – return of
undigested food from the
stomach, usually accompanied
by burping
SPITTING UP – dribbling of
unswallowed formula from the
infant’s mouth immediately
after a feeding
REGURGITATION
Frequent burping
Minimum handling
Positioning the child
“SPITTING UP”
Absorbent bibs
Protective cloths
Excoriation
You need to suspect there
is a problem:
• when he or she has difficulty gaining weight
• if he is frequently irritable
• if he chokes often when he eats or has
difficulty breathing or wheezing
• if he has a chronic cough
• if he is hoarse when he cries
• if he refuses to eat or cries after each
feeding
• if he arches his back during or after
feedings
• if he has a large volume of reflux
• if the vomit is bloodstained
• if he or she fails to thrive
Paroxysmal
Abdominal
Pain
COLIC
Paroxysmal abdominal pain or
cramping manifested by loud
crying and drawing the legs up to
the abdomen.
COLIC
Duration of cry greater than 3
hours a day, occurring more than 3
days per week, and parental
dissatisfaction with the child’s
Poverty
Health and/or childrearing beliefs
Inadequate nutritional knowledge
Family stress
Feeding resistance
Insufficient breast milk
Failure To Thrive (FTT)
Initially made from evidence of growth
retardation
Recent FTT – weight is below accepted standards
Long-standing – both weight and height are depressed
Treatment is directed at
reversing the malnutrition
Provide calories to support
“catch-up” growth
Prognosis is related to the
cause
Nursing Consideration
Etiology is unknown.
Evidence supports multiple biologic
causes
Abnormal EEG
Epileptic seizures
Delayed development of hand dominance
Persistence of primitive reflexes
Metabolic abnormalities
AUTISM
SOCIAL RELATIONS AND BEHAVIOR
Extreme interpersonal isolation
Intense, abnormal concern for preservation of
sameness
Unyielding to cuddling and holding
Do not respond to verbal stimulation
Bizarre attachment to mechanical objects
Odd repetitive behaviors, such as flicking a light
switch on and off
Difficult to manage; passive or irritable
Frequent temper tantrums and/or self-destructive
behavior
DEVELOPMENT
Mental retardation, usually severe
May have advanced gross motor skills
Normal to hyperactive
May have exceptional ability (eg. memory)
Poor suck and feeding responses
AUTISM
LANGUAGE
Echolalia or parrot speech
Pronominal reversal (tendency to use
“you” for “I”)
Literal, concrete use of words
SENSORY/PERCEPTUAL PROCESSES
Sensory deficits even though vision and hearing
intact
Act as if deaf, yet may be overly sensitive to
sound
Hyposensitive or hypersensitive to pain
Have aversion to touch