Tracheo- Esophageal Fistula Nursing care and intervention

Tracheo- Esophageal Fistula

Definition

- It is rare malformation that represent a failure of the esophagus to develop as a continuous passage.

- Occur in both sexes

- High in low birth weight and premature

Types  of Tracheo- Esophageal Fistula

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Manifestations

- Excessive saliva and drooling associated with choking,sneezing,coughing

- Infant becomes cyanotic and may stop breathing

- Feeding may be aspirated through the fistula to the trachea causing aspiration pneumonia.

- Abdominal distension from air passing down to the stomach.

Treatment of Tracheo- Esophageal Fistula

- Surgical correction

- NPO, IV therapy

- Prevention of pneumonia by proper positioning, frequent suctioning.

- Gastrostomy

Maintain gastrostomy tube

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Nursing intervention Tracheo- Esophageal Fistula

Preoperative care:

- Suctioning to remove secretion

- Position to keep patent airway

- Observe for signs of respiratory distress

- Keep the infant NPO, IV therapy

- Postoperative care:

- Maintain patent airway

- Suction secretions as needed

- Maintain care of chest tubes

- Administer oxygen as indicated

- Regulate IV fluid

- Administer mouth care

- Care of gastrostomy tube

- Observe for signs of inflammation

- Apply gastrostomy feeding

Infantile Hypertrophy Pyloric Stenosis (IHPS)

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