What are the nursing care plan of pyloric stenosis?

The major nursing care planning goals for a child with pyloric stenosis are: Improving nutrition and hydration. Maintaining mouth and skin integrity. Relieving family anxiety.

What is the primary nursing concern when a 4 week old infant experiences forceful or projectile vomiting?

If your baby begins projectile vomiting, contact your doctor immediately. It could be a sign of pyloric stenosis, which is a common condition in young infants. Pyloric stenosis occurs when there is a narrowing of the lower tubular portion of the stomach that prevents food from leaving the stomach.

What are the complications of pyloric stenosis?

Complications

• Failure to grow and develop.
• Dehydration. Frequent vomiting can cause dehydration and a mineral (electrolyte) imbalance.
• Stomach irritation. Repeated vomiting can irritate your baby’s stomach and may cause mild bleeding.
• Jaundice.

How can pyloric stenosis be prevented?

There’s no way to prevent pyloric stenosis. If you know pyloric stenosis runs in your family, make sure to tell your healthcare provider. The provider can be on the lookout for any signs or symptoms of the condition. Knowing the signs and symptoms of pyloric stenosis means you can get help as soon as possible.

What is the surgical procedure for pyloric stenosis?

Pyloromyotomy. In surgery to treat pyloric stenosis (pyloromyotomy), the surgeon makes an incision in the wall of the pylorus. The lining of the pylorus bulges through the incision, opening a channel from the stomach to the small intestine.

What is the classic presentation of pyloric stenosis?

Typical presentation of an infant with hypertrophic pyloric stenosis (HPS) is onset of initially nonbloody, always nonbilious vomiting at 4-8 weeks. Although vomiting may initially be infrequent, over several days it becomes more predictable, occurring at nearly every feeding.

Should you feed a baby after projectile vomiting?

When to feed your baby after they’ve vomited Offer your baby a feeding after they’ve stopped throwing up. If your baby is hungry and takes to the bottle or breast after vomiting, go right ahead and feed them. Liquid feeding after vomiting can sometimes even help settle your baby’s nausea.

How do you treat pyloric valve?

Pyloric stenosis needs to be treated. It won’t improve on its own. Your child will need surgery called pyloromyotomy. During this surgery, which can be done laparoscopically, a surgeon will cut through part of the thickened muscle in order to restore a pathway for food and liquid to pass through.

How does atropine treat pyloric stenosis?

Atropine has been studied as a potential for conservative management of pyloric stenosis. It is either administered intravenously or orally with the goal of treatment being cessation of projectile vomiting.

How do you palpate for pyloric stenosis?

With the infant supine and the examiner on the child’s left side, gently palpate the liver edge near the xiphoid process. Then displace the liver superiorly; downward palpation should reveal the pyloric olive just on or to the right of the midline.

Should I feed my baby after projectile vomiting?

https://www.youtube.com/watch?v=7btfT3CGZ1Q