F P I E S (F Pies) Or (F Peas)
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F P I E S (F Pies) Or (F Peas)



my powerpoint on FPIES for my class

my powerpoint on FPIES for my class



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F P I E S (F Pies) Or (F Peas) F P I E S (F Pies) Or (F Peas) Presentation Transcript

  • FPIES (f-pies) or (f-peas)
    Food Protein Induced Enterocolitis Syndrome
  • 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
  • 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)
  • 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)
  • 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)
  • 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.
  • 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????
  • Resource