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Gastrointestinal Structural & Inflammatory Disorders (Ch. 23 ATI)

Terms in this set (62)

- Perform standard postoperative care, including assessment of vital signs, oxygen saturation, & pain management using age-appropriate tool
- Keep infant pain-free to decrease crying & stress on repair
- Administer analgesics as prescribed
- Assess operative sites for signs of crusting, bleeding, & infection
- Avoid having infant suck on nipple or pacifier
- Avoid spoons, forks, & other objects infant might bring to mouth that could damage incision site
- Monitor I & O & weigh daily
- Observe family's interaction with infant
- Assess family coping & support

For cleft lip,
- Monitor integrity of postoperative protective device to ensure proper positioning
- Position infant on her back & upright, or on her side during immediate postoperative period to maintain integrity of repair
- Apply elbow restraints to keep infants from injuring repair site
- Restraints should be removed periodically to assess skin, allow limb movement, & for comfort
- Use normal saline, water, or diluted hydrogen peroxide to clean incision site. Apply antibiotic ointment if prescribed
- Gently aspirate secretions of mouth & nasopharynx to prevent respiratory complications

For cleft palate,
- Change infant's position frequently to facilitate drainage & breathing. Infant may be placed on abdomen in immediate postoperative period
- Maintain IV fluids until infant is able to eat & drink
- Clear liquid diet for first 24 hr
- Avoid placing a straw, tongue depressor, hard pacifier, rigid utensils, hard-tipped sippy cups, or suction catheters in infant's mouth after cleft palate repair
- Elbow restraints needed to prevent infant from injuring repair
- Close observation for signs of airway obstruction, hemorrhage, & laryngeal spasm
- Face mask to deliver oxygen