infant w/ pyloric stenosisRegister Today!
This is a discussion on infant w/ pyloric stenosis in Nursing Student Assistance, part of Nursing Student ... we have to do a presentation over an infant who has had a pylorotomy for pyloric stenoisis.. we...by ilovematt48 Sep 8, '08we have to do a presentation over an infant who has had a pylorotomy for pyloric stenoisis.. we have to go into deatil about our priorities for thsi patitent and we must have 3. we are having trouble with the 3rd! Can someone help us out please???
this is what we have so far
Problem #1 (most important) dehyrdation
#2 nutrition and intake
#3??? maybe infection? but he is 2 days post-op so should this still be a priority considering he is about to go home???
any input is greatly appreciated!
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- Sep 8, '08 by JolieAlways do ABC's first.
Then rely on Maslow's Hierarchy for guidance.
Where does pain fit into your care plan?
- Sep 8, '08 by Daytoniteyou are problem solving here so follow the 5 steps of the nursing process.
- nursing diagnosis
- http://www.merck.com/mmpe/sec19/ch275/ch275b.html - hypertrophic pyloric stenosis
- http://www.emedicine.com/ped/topic2965.htm - hypertrophic pyloric stenosis: surgical perspective; includes etiology, pathophysiology, details of the pyloromyotomy including a couple of photos, postop care and complications
- http://www.virtualpediatrichospital....6/case56.shtml - images of infant with hypertrophic pyloric stenosis before and after surgery
- http://www.uhrad.com/pedsarc/peds025.htm - ultrasound images of hypertropic pyloric stenosis
- http://www.merck.com/mmpe/sec22/ch335/ch335a.html - care of the surgical patient; click on the links at the top of the page to access topics
- https://www.halifaxhealth.org/health...chunkiid=99746 - pyloric stenosis; consumer information
- expected patient behavior during the healing phase
- anticipated physician orders
- potential complications
problem #1 (most important) dehyrdation
#2 nutrition and intake
#3??? maybe infection?the patient has had surgery. therefore, they are postop. the pyloric stenosis has been repaired. read the article "hypertrophic pyloric stenosis: surgical perspective" on the emedicine website listed above. is this patient still dehydrated postoperatively? if not, then dehydration isn't a problem any longer. going into the surgery was the patient below a normal weight because of problems with vomiting? is that still true? is the patient "out of the woods" as far as keeping formula down and not throwing it up after the pylorotomy? is the patient still underweight? then, these are still problems (imbalanced nutrition: less than body requirements). was this an open or a laparoscopic procedure? is there an incision that needs care? (impaired tissue integrity). superficial wound infection or peritonitis due to internal rupture are complications that can occur (risk for infection). with regard to discharge, how is the child's feeding schedule likely to change? will the parents need to be taught that before discharge? do the parents know and understand what this condition is and what was done to correct it? who does that teaching? what about care of any incisions? (ineffective health maintenance r/t deficient knowledge of parents regarding condition, feeding regimen and wound care). discharge planning includes diet, allowed physical activity, medications they will need to take, treatments and tests they need to be doing after discharge, follow up appointments with doctors have been made and patient knows about them, referrals to any outside agencies or support groups have been made, and teaching materials and/or contact with outpatient professionals for continued care and teaching have been provided to the patient or caregivers.
http://www.medem.com/search/article_..._typ=nav_serch - guidelines for fluids after vomiting