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Welcome back to our free evidence-based Nursing Reference Center Update. We will periodically send news on the latest evidence in nursing. Please share this with your colleagues, students, practitioners and others who would appreciate awareness of this information.
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| Nursing Reference Center in Daily Practice |
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Cow's Milk Protein Allergy in Infants and Children
The nurse is assigned to Jesse, a 2 year old boy with milk protein allergy.
The nurse wants to find some information on milk allergies. She consults Nursing Reference Center, keying in milk protein allergy. She consults the quick lesson "Cow's Milk Protein Allergy in Infants and Children."
She reads about cow's milk allergy, including risk factors, treatment goals, and red flags. The nurse talks to Jesse's parents about cow's milk protein allergy, and educates them on the treatment options.
Note: The above referenced Quick Lesson is freely accessible to all readers of the Nursing Reference Center Update.
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| Quick Overview |
Caring for Young Patients with Gastroesophageal Reflux
Gastroesophageal reflux (GER), defined as passage of gastric contents into the esophagus that results from transient relaxation of the lower esophageal sphincter (LES), is common and considered normal in infants and younger children (i.e., aged < 12 months); in whom it results from immature function. However, if GER becomes pathological in infants and younger children, it is considered gastroesophageal reflux disease (GERD) when worsening signs and symptoms (e.g., more frequent spitting up or vomiting) and/or complications of reflux (e.g., esophagitis, pulmonary aspiration, failure to thrive) develop. Pathological GER (i.e., GERD) that is allowed to persist beyond young childhood can result in significant impairment in physical and behavioral development, eating disorders, growth failure, dental erosion with enamel loss, sleep disturbances, respiratory disease, apnea, behavioral problems, or anemia resulting from dietary insufficiency.
Treatment options include anti-reflux medication such as antacids, proton pump inhibitors, H2-receptor antagonists, and prokinetic agents.
Please login to your Nursing Reference Center subscription to read the Quick Lesson on "Gastroesophageal Reflux in Infants and Young Children."
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Evidence-based Content Update
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Recently, the quick lesson "Urethral Obstruction" was revised following review under the systematic literature surveillance program. Information of value to nursing practice regarding urethral obstruction was a case study.
The case study highlights the utility of a bedside sonogram to identify posterior urethral valves as a cause of urethral obstruction in boys.
We invite you to login to the Nursing Reference Center to read new and updated content as it becomes available.
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