What is the nursing management 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 post op care is required after a pyloromyotomy?
Postoperative Care:
Usually feeds are started 4 hours after surgery and the amount and concentration of feedings are gradually increased until full feeds are reached. Shortly after surgery it is common to see small amounts of vomiting until the baby’s stomach has completely recovered from the procedure.
What happens after pyloric stenosis surgery?
Recovery. In general, patients who receive surgical treatment for pyloric stenosis have an excellent recovery and very few suffer any long-term problems as a result of the disease. After surgery, your baby may be fed special fluids for one or two feedings and then breast milk or formula within 24 hours.
What is pyloric surgery?
Pyloric stenosis surgery
Surgery to correct pyloric stenosis is called a pyloromyotomy. In this procedure, surgeons divide the muscle of the pylorus to open up the gastric outlet. At The Children’s Hospital of Philadelphia, the pyloromyotomy is done laparoscopically through small incisions and with tiny scopes.
What is the nursing care plan for vomiting?
Nursing Care Plan for Nausea and Vomiting 1
To provide baseline data and determine the need for hydration and nutritional support. Encourage to try dry foods (crackers, toast) when nausea occurs. To decrease discomfort and enhance intake. Encourage ice chips, sips of cold water and ginger products when nauseous.
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 do you care for a baby after pyloric stenosis surgery?
Incision care
- Keep your baby’s incision clean and dry. Don’t use lotion, powder, oil, or cream on the incision.
- You can give your baby sponge baths for 2 days after the surgery. After that, you can give your baby baths.
- Don’t remove the white sticky strips on your baby’s incision.
- Don’t lift your baby under the arms.
How long does a baby stay in hospital after pyloric stenosis surgery?
Can my child eat after pyloric stenosis surgery? Your child will likely need to stay in the hospital for one to three days after surgery.
How long is the surgery for pyloric stenosis?
A pyloromyotomy can be done using a small telescope and two miniature instruments through several small bandaid sized incisions, or it can be done through a very small incision on the abdomen. The operation usually takes about an hour.
How is pyloric stenosis surgery performed?
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. Surgery is needed to treat pyloric stenosis.
What are the nursing intervention for nausea and vomiting?
Nursing Interventions Nausea
| Nursing Interventions | Rationales |
|---|---|
| Tell patient to avoid foods and smells that trigger nausea. | Strong and noxious odors can contribute to nausea. |
| Position the patient upright while eating and for 1 to 2 hours post-meal | This can be helpful in reducing the risk. |
What is the nursing management of hyperemesis gravidarum?
Reestablishing normal fluid and electrolyte levels often relieves nausea and vomiting. Encourage the patient to eat, and tell her to avoid going for a long period without eating. Advise her to eat when she feels hungry, starting with small, frequent lowfat meals. She should avoid drinking fluids with meals.
Which is the most appropriate intervention for a 3 month old infant who has gastroesophageal reflux?
Doctors may recommend medicines—typically proton pump inhibitors (PPIs) or H2 blockers—if an infant has esophagitis or has bothersome GERD symptoms that don’t improve after lifestyle changes. Don’t give infants medicines unless told to do so by a doctor. PPIs and H2 blockers lower the amount of acid the stomach makes.
What are the symptoms of pyloric stenosis in babies?
Infants with pyloric stenosis may eat well but have these symptoms:
- Frequent projectile vomiting (forceful vomiting), usually within a half hour to an hour after eating.
- Abdominal (belly) pain.
- Dehydration.
- Hunger after feedings.
- Irritability.
- Small stools.
How long is the hospital stay for pyloric stenosis?
Can my child eat after pyloric stenosis surgery? Your child will likely need to stay in the hospital for one to three days after surgery. Here’s what you can expect: Your child will start eating formula or breast milk a few hours after surgery.
What tissue layers are cut during a pyloromyotomy?
Traditional pyloromyotomy
A 3- to 4-cm longitudinal transverse incision was made in the right upper abdomen, and then we cut the skin, subcutaneous tissue, and muscle layer-by-layer.
What should nurse do if patient vomits?
What should the CNA/Nurse Aide do if a patient vomits while in…
- Turn the patient on their side.
- Use an emesis basin to catch the vomit.
- After the patient has finished vomiting, leave them on their side until they have recovered.
- Rinse patient’s mouth with cool water and wash their face with a cool washcloth.
What is a priority nursing consideration for a patient with hyperemesis gravidarum?
The first priority of care is to determine severity of the nausea and vomiting problem in patients who can no longer retain solids or liquids as well as the degree of dehydration and weight loss. Laboratory studies are prescribed to identify electrolyte imbalances.
What are the priority interventions for a patient presenting with hyperemesis gravidarum?
Alright, let’s take a look at the nursing care you’ll be providing for a client with hyperemesis gravidarum. Priority goals of care include initiating measures to reduce vomiting, maintaining fluid and electrolyte balance, and providing emotional support. First, assess your client’s severity of nausea and vomiting.
Which is the priority need that must be included in the nursing care for a child with pneumonia?
Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support.
What medication is used for infant reflux?
Infants with suspected gastroesophageal reflux disease might benefit from an acid-suppressing medicine. Omeprazole (Prilosec) and lansoprazole (Prevacid) have been best studied in infants. If the symptoms do not improve significantly within a few weeks, the medicine usually should be stopped.
What is the most common symptom in a child with pyloric stenosis?
Signs include: Vomiting after feeding. The baby may vomit forcefully, ejecting breast milk or formula up to several feet away (projectile vomiting). Vomiting might be mild at first and gradually become more severe as the pylorus opening narrows.
Which of the following is are major complications of pyloromyotomy?
Complications. The major complications of pyloromyotomy include mucosal perforation, wound infection, incisional hernia, prolonged postoperative emesis, incomplete myotomy, and duodenal injury.
What are nursing interventions for nausea and vomiting?
How do you take care of a vomiting patient?
Care and Treatment
- Drink clear or ice-cold drinks.
- Eat light, bland foods (such as saltine crackers or plain bread).
- Avoid fried, greasy, or sweet foods.
- Eat slowly and eat smaller, more frequent meals.
- Do not mix hot and cold foods.
- Drink beverages slowly.
- Avoid activity after eating.