my powerpoint on FPIES for my class

1. FPIES (f-pies) or (f-peas) Food Protein Induced Enterocolitis Syndrome

2. It is a non-IgE mediated response to a food protein in the G.I. system It causes inflammation in both the small intestine and the colon Most commonly characterized by profuse vomiting and lethargy Considered a type of Shock Most common triggers are cows milk and soy Can be caused by ANY food including rice, oat, barley Can be confused with a food allergy Can be confused with the stomach flu or food poisoning Is more common than people realize but less recognized in the medical community. Misdiagnosed frequently

3. What is non-IgE Mediated mean…… IgEstands for Immunoglobulin E. It is a type of antibody, formed to protect the body from infection, that functions in allergic reactions. IgE-mediated reactions are considered immediate hypersensitivity immune system reactions, while cell mediated reactions are considered delayed hypersensitivity. Antibodies are not involved in cell mediated reactions. For the purpose of understanding FPIES, you can disregard all you know about IgE-mediated reactions.(KWFA.org)

4. When does it start? Can start as birth Usually with introduction of first foods What does a reaction look like? Different in every child Usually starts with delayed onset vomiting (2-8 hrs after ingestion) Symptoms can be mild (increase of reflux or several days of runny stools ) to life threatening (shock) In severe cases, after repeatedly vomiting, children often begin vomiting bile. Commonly, diarrhea follows and can last up to several days. In the worst reactions (about 20% of the time), the child has such severe vomiting and diarrhea that s/he rapidly becomes seriously dehydrated and may go into shock. (KWFA.org)

5. Signs/Symptoms of Shock Shock is a life-threatening condition. Shock may develop as the result of sudden illness, injury, or bleeding. When the body cannot get enough blood to the vital organs, it goes into shock. Signs of shock include: Weakness, dizziness, and fainting. Cool, pale, clammy skin. Weak, fast pulse. Shallow, fast breathing. Low blood pressure. Extreme thirst, nausea, or vomiting. Confusion or anxiety. (KWFA.org)

6. Diagnosis/Treatment/Prognosis Very difficult to diagnose Skin and blood tests may be negative Follow you and your doctor’s emergency plan Call 911 if signs of FPIES or shock are present IV fluids are extremely important as dehydration can come quickly More severe symptoms require steroids and in-hospital monitoring Most children will outgrow this by age 3 but not all Continue to avoid the food until food challenges are negative for reactions.

7. Nursing Considerations Treating the symptoms of FPIES is most important factor in recovery Recognizing possible alternative to traditional theories (stomach flu) with recurrent exposure to same food Can happen in first few weeks or months of life or older children who are exclusively breastfed TIME TO THINK…………………………… How would your abdominal assessment change by this condition? What would your Nursing Diagnoses be for this child????

8. Resource http://www.kidswithfoodallergies.org/resourcespre.php?id=99