Anorectal malformation ........

seminar presentation on anorectal malformation of pediatrics nursing

1. SEMINAR PRESENTATION ON ANORECTAL MALFORMATION DIKSHA SINGH

2. INTRODUCTION ANO means the anus and RECTAL means rectum. ANORECTAL MALFORMATION are birth defect or problems that happen as an unborn baby is developing during pregnancy with this defect the anus and rectum don’t develop properly they are lower part of the digestive tract.

3. DEFINITION ANORECTAL MALFORMATION ARE DEVELOPMENTAL DEFORMATIES OF LOWER END OF THE ALIMENTARY TRACT.

4. CAUSES URINARY TRACT ABNORMALIIES ABNORMALITIES OF THE SPINE DIGESTIVE SYSTEM ABNORMALITIES VACTERAL(a syndrome in which there are vertebral , anal, cardiac, tracheal , renal and limb abnormalities)

5. TYPES Anal stenosis Anal membrane atresia Rectal atresia Imperforate anus

6. PATHOPHYSIOLOGY GENITOURINARY TRACT ORIGINATES FROM THE EMBRYONIC STRUCTURE CALLED CLOACA BYY THE WORK OF GESTATION MEMBRANE SEPARATES THE RECTUM FROM ANUS IF THE MEMBRANE THAT SEPARATES ANUS IS NOT ABSORED UNION OF ANUS AND RECTUM DOES NOT OCCUR RESULTNG IN ANORECTAL MALFORMATION

7. SIGN AND SYMPTOMS LACK OF STOOL STOOL COMING FROM THE VAGINA URINE COMING FROM THE ANUS TROUBLE HAVING A BOWEL MOVEMENT OR CONSTIPATION

8. DIAGNOSTIC EVALAUTION DETECTION OF IMPERFORATED ANUS NO ANAL OPENING GLOVED FINGER OR THERMOMETER CANNOT BE INSTERED INTO INFANT RECTUM NO HISTROY OF PASSAGE OF MECONIUM PRESENCE OF DISTENSION PRESENCE OF MECONIUM IN URINE, INDICATING RECTOVAGINAL FISTULA

9. INVESTIGATION INVERTROGRAM ABDOMINAL ULTRASOUND INTRAVENOUS PYELOGRAM

10. MANAGEMENT DURING THE FIRST 24 HOURS THE NEONATES SHOULD- PERINEAL EXAMINATION PROVIDE NOTHING ORALLY PROVIDE IV FLUID ANTIBIOTICS NGT TO EXCLUDE ESOPHAGEAL ATRESIA ECHOCARDIOGRAM TO EXCLUDE MALFORMATION 0F CARDIAC RADIOGRAPH ULTRASOUND

11. SURIGCAL MANAGEMENT ANOPLASTY PSARP( POSTERIOR SAGITTAL ANORECTOPLASTY) OR PENA’S PROCEDURE

12. NURSING MANAGEMENT PRE-OPERATIVE NURSING CARE- AFTER BIRTH AS SOON AS THE ANORMALY IS NOTICED, ORAL FEEDING SHOULD BE STOPPED IV FLUID ARE STARTED TO MEET NUTRITIONAL REQUIREMENTS ABDOMINAL GIRTH SHOULD BE MEASURED GASTRIC COMPRESSION SHOULD BE DONE BY NASOGATRIC ASPIRATION MONITOR VITAL SIGNS PREPARE THE FAMILY PSYCHOLOGICALLY FOR INFANT SURGERY

13. POST OPERATIVE CARE- INTRAVENOUS FEEDING TILL THE WOUND HEALS PREVENTION OF CONSTIPATION BY EXCLUSIVE BREASTFEEDING AND PROPER WEANING WITH STOOL SOFTENER BOWEL HABIT TRAINING PROVIDE ENEMA DON’T USE DIAPER IN CASES OF ANOPLASTY COLOSTOMY CARE BY CHANING TE COLLECTION DEVICE FAMILY SUPPORT , DISCHARGE PLANNING AND HOME CARE