Pyloric stenosis1_1

Pyloric stenosis1_1

1. is an obstruction of the lower end of the stomach caused by hypertrophy of the circular muscles of the pylorus or by spasm of the sphincter.

2. Diagnosis

3. risk factors

   • Sex: occurs more in males than females Family history- has a tendency to be inherited Early antibiotics for babies, or mothers certain ABX in late pregnancy. 2-3 weeks old

4. Manifaestations

   • -Projectile vomiting (immediately after feed)
     • Dehydration
       • Infant constantly hungry, and will eat again immediately after vomiting

5. Ultrasonography or scintiscans

   • Olive shaped mass right upper quadrant

6. Interventions

   • Surgery; Pyloromyotomy as soon possible if infant is not dehydrated
   • Dietary considerations
     • Thickened feedings. On admission NPO. IV fluids
   • Nursing care
     • Pre op
       • IV fluids, feeding infant, burp before, during as well as after feedings, weigh daily, chart input and output
     • Post op
       • Observe VS, Administer IV fluids, wound site care, restart oral feedings protocol
         • Observe VS Administration of IV fluids Wound site care Re start oral feedings after recovered from anesthesia per protocol.
     • PT teaching
       • Teach parents methods of pain assessment and management. Reintroduce feedings. How to provide incision care

7. Complications

   • Failure to grow at a normal healthy rate
   • Dehydration
   • Mild bleeding due to stomach irritation