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Home > Medical Center > Department Resources > NICU Flip Book > Gastrointestinal System > Omphalocele vs. Gastoschisis > Nursing Care

document 020 : Nursing Care

  1. content:

    • Early recognition of associated anomalies
    • Focal points of pre-op care:
    – Decompression of GI tract with replogle
    – Defect/sac care to protect eviscerated organs
    – Keep umbilical cord moist
    – Hydration/fluid and electrolytes
    – Thermoregulation
    – Infection surveillance
    – Nutritional support
    – Comfort measures
    • Focal Points of post-op care:
    – Silo care
    – Respiratory assessment and support
    – Fluid and electrolyte shift- third spacing
    – Circulatory assessment for compromise of venous return secondary to vena cava impingement and hypovolemia
    – Ileus and cholestasis evaluation