Necrotizing Enterocolitis (NEC) | Cheat Sheet

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

328

Pages:

3
Author:

Mariam A. A.

Necrodising Enterocolitis (NEC) inflammation necrosis of inlestines ↓ perforation of intestinal walls severe infechos a rave a life- Hereatening condition * usually happens in of life 1st 2 ukes * mostly affects pre-matue babies esp. those with a birth weight very low ako hapren in full term * cas babies immune ½ gut systems are not fully mature easier for harmful bacteia to invade the intestinal wall those who are Pormula Ped ave @ greate risk thay those who are breast fed also have antibody's othe anti-inflammakay compound that prevent indedinul microbes foron aduering to the inkobinul lining likely due & prolective effect of breast milk in intesti nes the Clinical manifestations * early feat wes feeding intolerance diffully digesting formula of breastmilk abdominal loating or swelling vomit +/- bile diarrhoea bloody stocks due to free air in alodo as has more natural balance of sugars that help with balance of berelicial backera in the gut *Late manifestalicas albdomen tender, ned or shiny * in perforatico crexitue may be heaved on ② auscultation comen lights sawthing malodo *signs of infection= * high mortality rate Peus Cesp wey prometr breathing problems IBP those burn before poor circulation 28 walks of yestation * fure many cong term complicahes short bowel syndame intestinal strictwes neurodevelopmental delays Diagnosis based on Hira phyiscul kutus * clinicully * lap tests look for signs of infection (support diagnosis) * X-ray of alodo dilated loups of intestine gas within intestinal wall if perlerate preumoperties (bee gas is abdo) though support diagnosis, ABX ABX hading are not required for diagnosis lussical Pecatues are NO always visible * should be commenced as soon as diagnosis is suspected * promote intestinal rest stop oral ferds NBM for 10 duys cor eaulier empty stomach using a nase gusta ar an rogastic tube IV fluito *antibiotics →for hydration + aubriken during the periods of leding to Tx infection vancomycin, gentamicin metronidazole * in mild cases good roparze to these interventions no further intervention is needed in severe cores may deferoviale quickly require evaluation by a surgical team may nesfom an explorative (aparotary to assess fer hissue death! perforation nemare deud issue if needed such cases a stoma may be beated & allow the remaining intestive to reer following sugers may require ongoing nutihcul suprax 3 momtung fu polenhal Complication Complications *shichue formaliom اله bowel obstruction bilious romit abdo distension *ccantibuheres * gastro en bilis *FT7