Preschool-Aged Children

Body-Integrity - - Preschool-aged children are very concerned about their body integrity

- They believe that their insides can leak our from even a small wound.

- Explains reason for their preoccupation with bandages

Preschool (3-6 Years) - - IMITATION of adults: providing a stethoscope allows child an

opportunity for THERAPEUTIC play.

- Time based on events, magical thinking, animism, centration.

- Stress = Regresion; may still be picky eaters , sleep 12 hours average, pedestrian safety

- Keep a consistent bedtime routine

Pyloromyotomy - - Release of hypertrophied muscle around the pyloric sphincter that causes

narrowing of the pyloric canal.

- Infants will be fed shortly postoperative (with return of bowel sounds) in small, frequent oral

feeds.

- There is no incision to the gastric walls or mucosa and NPO is not required.

Cystic Fibrosis

Nutritional Care - - ↑ Protein, Carbs and minerals, to promote weight gain

- They have difficulty absorbing nutrients due to blockage of pancreatic enzymes by thick mucus

secretions in the pancreas and liver.

- Pancreatic enzymes help breakdown ingested foods so the body can metabolize nutrients.

- Administering pancreatic enzymes BEFORE eating will enable children to metabolize nutrients

so they can be used more effectively

- Fat content doesn't need to be decreased or eliminated. They have difficulty absorbing fat due

to thick mucus in intestines and the inability of the pancreatic enzymes to reach the duodenum.

- ↑ of fiber is NOT needed, their stools are bulky because of fat content, but they have regular

bowel movements

- C.F. patients excrete excessive salt through the skin, the child with cystic fibrosis will likely

require additional salt in their diet, especially during activities.

- 85% O2 Sat = mild hypoxemia, as mucopurulent secretions gather in airways, respiratory

compromise worsens and oxygenation becomes impaired and ↓ in O2 Sat is likely seen