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Colic and Burns: Causes, Symptoms, Treatment, and Prevention, Study notes of Nursing

A comprehensive overview of colic and burns, covering their causes, symptoms, diagnosis, treatment, and prevention. It includes detailed information on the different types of burns, the rule of nines for burn assessment, and nursing interventions for burn management. The document also highlights the importance of early intervention and proper care for both conditions.

Typology: Study notes

2023/2024

Uploaded on 03/13/2025

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COLIC
DESCRIPTION:
an attack of acute abdominal pain localized in a
hollow organ and often caused by spasm,
obstruction, or twisting
a condition marked by recurrent episodes of
prolonged and uncontrollable crying and irritability in
an otherwise healthy infant that is of unknown cause
and usually subsides after three to four months of
age.
Colic, which is not a disease, affects 10-20% of all
infants. It is mote common in boys than in girls and
most common in a family's first child. Symptoms of
colic usually appear when a newborn/infant is 14-21
days old, reach a crescendo at the age of three
months, and disappear within the next eight weeks.
Episodes occur frequently but intermittently and
usually begin with prolonged periods of crying in the
late afternoon or evening. They can last for just a few
minutes and continue for several hours. Some
newborn/infant who have colic are simply fussy.
CAUSES AND SYMPTOMS
No one knows what canes and severe abdominal pain cobe.
The condition nay be the result of swallowing large mes
trapped in the digestive tract and causes bloating and severe
abdominal pain.
Other possible causes of colic include
1. digestive tract immaturity /underlying causes: tumor,
mass, Intussusception
2. Formula milk- not easily digested
3. Hunger or overfeeding
4. Lack of sleep
5. overheated milk or ferdade
6. Overstimulation resulting from noise, light, or activity
7. Tension
8. During a colicky episode, infants’ bellies often look
swollen, feel hard, and make a rumbling sound.
Crying intensities, tapers off, then gets louder.
9.
Many infants grow rigid, clench their fists, curl their
toes, and draw the legs toward the body.
A burp and bowel movement can end an attack.
DIAGNOSIS
NEWBORN/INFANT has cried loudly for at least
three hours a day least three times a week for three
weeks or longer
is not hungry but cries for several hours between
dinnertime and midnight.
The infant's medical history and a parent's description
of eating, sleeping, and crying patterns are used to
confirm a diagnosis of colic. Physical examination
and laboratory tests are used to rule out
infection, intestinal blockage, and other
conditions that can cause abdominal pain and
other colic-like symptoms.
TREATMENT/PREVENTION
1. Gently massaging the newborn's back can release a
trapped gas bubble.
2. Nipple-hole size can be checked by filling a bottle.
3. Infants should not be fed every tame they cry, more
often may alleviate symptoms but feeding and
burping an infant A bottle-fed infant should be burped
after every ounce, and a infant who in breastfeeding
should he burped every 5 minutes.
4. Encourage breastfeeding
CASEIN SUBSTANCE FOUND IN FORMULA MILK
THAT IS DIFFICULT FOR NEWBORN/INFANT TO
DIGEST
SIGNS AND SYMPTOMS
1. Intense crying that mar wen mone ke streaming or an
expression of pain
2. Crying for no apparent reason, unlike crying to
express hunger or the need for a diaper change
3. Externe fussiness even after erving has diminished
4. Predictable timing , with episodes often occurring on
the evening
5. Facial discoloration , such as skin flushing or
blushing
6. Body tension, such as pulled up or stiffened legs,
stiffened arm, clenched fi arched back, or tense
abdomen.
SUMMARY: CAUSES OF COLIC
1. Digestive system that is not fully developed
2. Imbalance of healthy bacteria in the digestive tract.
3. Food allergies or intolerances of formale milk
4. Overfeeding, underfeeding or infrequent burping and
improper position during feeding
5. Family stress or anxiety-mother that may not be
capable enough to fred het newborn or infant
properly.
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COLIC

DESCRIPTION:

● an attack of acute abdominal pain localized in a hollow organ and often caused by spasm, obstruction, or twisting ● a condition marked by recurrent episodes of prolonged and uncontrollable crying and irritability in an otherwise healthy infant that is of unknown cause and usually subsides after three to four months of age. ● Colic, which is not a disease, affects 10-20% of all infants. It is mote common in boys than in girls and most common in a family's first child. Symptoms of colic usually appear when a newborn/infant is 14- days old, reach a crescendo at the age of three months, and disappear within the next eight weeks. ● Episodes occur frequently but intermittently and usually begin with prolonged periods of crying in the late afternoon or evening. They can last for just a few minutes and continue for several hours. Some newborn/infant who have colic are simply fussy. CAUSES AND SYMPTOMS No one knows what canes and severe abdominal pain cobe. The condition nay be the result of swallowing large mes trapped in the digestive tract and causes bloating and severe abdominal pain. Other possible causes of colic include

  1. digestive tract immaturity /underlying causes: tumor, mass, Intussusception
  2. Formula milk- not easily digested
  3. Hunger or overfeeding
  4. Lack of sleep
  5. overheated milk or ferdade
  6. Overstimulation resulting from noise, light, or activity
  7. Tension
  8. During a colicky episode , infants’ bellies often look swollen, feel hard, and make a rumbling sound. Crying intensities, tapers off, then gets louder.

● Many infants grow rigid, clench their fists, curl their toes, and draw the legs toward the body. ● A burp and bowel movement can end an attack. DIAGNOSIS ● NEWBORN/INFANT has cried loudly for at least three hours a day least three times a week for three weeks or longer ● is not hungry but cries for several hours between dinnertime and midnight. ● The infant's medical history and a parent's description of eating, sleeping, and crying patterns are used to confirm a diagnosis of colic. Physical examination and laboratory tests are used to rule out infection, intestinal blockage, and other conditions that can cause abdominal pain and other colic-like symptoms. TREATMENT/PREVENTION

  1. Gently massaging the newborn's back can release a trapped gas bubble.
  2. Nipple-hole size can be checked by filling a bottle.
  3. Infants should not be fed every tame they cry, more often may alleviate symptoms but feeding and burping an infant A bottle-fed infant should be burped after every ounce, and a infant who in breastfeeding should he burped every 5 minutes.
  4. Encourage breastfeeding ➢ CASEIN SUBSTANCE FOUND IN FORMULA MILK THAT IS DIFFICULT FOR NEWBORN/INFANT TO DIGEST SIGNS AND SYMPTOMS
  5. Intense crying that mar wen mone ke streaming or an expression of pain
  6. Crying for no apparent reason, unlike crying to express hunger or the need for a diaper change
  7. Externe fussiness even after erving has diminished
  8. Predictable timing , with episodes often occurring on the evening
  9. Facial discoloration , such as skin flushing or blushing
  10. Body tension, such as pulled up or stiffened legs, stiffened arm, clenched fi arched back, or tense abdomen. SUMMARY: CAUSES OF COLIC
  11. Digestive system that is not fully developed
  12. Imbalance of healthy bacteria in the digestive tract.
  13. Food allergies or intolerances of formale milk
  14. Overfeeding, underfeeding or infrequent burping and improper position during feeding
  15. Family stress or anxiety-mother that may not be capable enough to fred het newborn or infant properly.

BURNS

DESCRIPTION:

● Burns are tissue damage that results from heat, overexposure to the sun or other radiation, et chemical or electrical contact Burns can be minor medical problems or life-threatening emergencies. ● The treatment of bums depends on the location and severity of the damage. Sunburns and small scalds can usually be treated at home. Deep of widespread burns need immediate medical attention. Some people need treatment at specialized burn centers and months long follow-up care. ● Burns are the leading cause of accidental death every year approximately 8000 persons lose their lives in fires-half of them are children and over 65 years old.

CATEGORIES

Burn symptoms vary depending on how deep the skin damage is. It can take a day or two for the signs and symptoms of a severe burn to develop.

  1. 1st-degree burn. This minor burn affects only the outer layer of the skin (epidermis). It may cause redness and pain. Erythema, Edema, Pain but without blisters, Fluid loss is MILD. HEALING OCCURS FAST.
  2. 2nd-degree burn. This type of burn affects both the epidermis and the second layer of skin (dermis). It may cause swelling and redness, white or splotchy skin. Blisters may develop, and pain can be severe. Deep second-degree burns can cause scarring. s/sx may include ● Erythema ● Edema ● Paus with blisters ● Pink to reddish skin - MOTTLED SKIN ● Fluid loss is MODERATE
  3. 3rd-degree burn. This burn reaches to the fat layer beneath the skin. Burned areas may be black, brown of white. The skin may look leathery. Third-degree burns can destroy nerves, causing numbness. Pearly white or charred appearance of the skin, Mottled brown, black, os red burn site, pain is absent and fluid loss is severe.
  4. 4th-degree burn. Deep Fullness Thickness Burn. In fourth degree burn injuries, the affected areas go through both layers of the skin and underlying tissue as well as deeper tissue. This classification of bum depth involves muscle and bone. Burned part is black/charted and Fluid loss is SEVER E. ● DEEPEST AND MOST SEVERE. POTENTIALLY LIFE THREATENING DESTROYING SKIN BONES MUSCLES AND TENDONS.

NURSING INTERVENTION AND MANAGEMENT

  1. Maintain fluid balance/START AN IV LINE: MAINTAIN PERFUSION TO THE VITAL ORGANS. HELPS AND MAINTAIN INTEGRITY OF THE CELLS AND TISSUES THAT HAS BEEN DAMAGED. IVF (DSLR)
  2. Monitor intake and output (I & 0)
  3. Ensure good oxygenation and ventilation ● Assess for the presence of hypoxemia and administer appropriate amount of oxygen if necessary ● Assess for signs of respiratory involvement like burned nose and mouth, blistering buccal mucosa, singed nasal hairs, and increasing hoarseness of voice ● Monitor the quality and quantity of impiration. ● Monitor Arterial Blood Gas abnormalities IT MEASURES THE OXYGEN CARBON DIOXIDE AND PH LEVELS IN THE BLOOD.
  4. Ensure efficient cardiac output ● Monitor Vital signs ● Monitor Sensorium- level of consciousness. ❖ Promote peripheral circulation ● Remove jewellery and other accessories ● Elevate extremities if not contraindicated. ● Monitor peripheral pulse every hour. 5. Avoiding infection ● Sterile wound cleansing and apply prescribed topical ointments. ● Pack wounds with a sterile dressing os specially designed burn pads ● Monitor body temperature every 2 hours for the first 24 hours ● Offer radiant warmer if the patient is having hypothermia ● Administer prescribed medications (antipyretics and antibiotic) ● Monitor wound regularly
  1. Promote ROM (Range of Motion) and ADL (Activities of Daily Living) once patient recovers from burn. 7.. Offer food high in protein, vitamin C, and high caloric.
  2. Control pain-GIVING pain relievers. ADDITIONAL RESPONSIBILITIES
    1. Assess: Airway Breathing beware of inhalation and sκριά απαν compromise Circulation : fluid replacement Disability compartment syndrome. AFTER BURN Exроsure percentage area of burn