Postoperative nursing management of pyloric stenosis
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Recommended PicmonicsHypertrophic Pyloric Stenosis (HPS) InterventionsHiker-trophy with Pylorus-pie of Stone The primary goal of caring for the newborn with HPS is to correct electrolyte and fluid balance prior to surgical treatment to relieve the obstruction. Following surgery, the newborn is able to resume a normal feeding schedule within a couple of days. 7 KEY FACTS Pyloromyotomy is the standard of treatment and has excellent outcomes. It involves the surgeon cutting through the muscle fibers of the pyloris. This relieves the pyloric contraction, which was obstructing flow of gastric contents to the duodenum. It is important to stabilize the hydration status and monitor intake and output of the newborn. Furthermore, the fluid and electrolyte imbalances should be corrected and you should administer fluids intravenously (as prescribed) for rehydration. This includes correcting metabolic alkalosis, which can develop from repeated vomiting. Often, if the newborn has excessive vomiting, an NG tube will be placed to decompress the stomach and relieve its contents. Preoperatively, you should monitor feeding and observe if vomiting occurs. Depending on how far out from surgery the newborn is, they may be prescribed to be NPO. Postoperatively, you should begin small, frequent feedings as prescribed. Mothers may begin formula feedings or breastfeeding within 24 hours of pyloromyotomy. Gradually, the amount and intervals of feeding should increase. It is recommended that feedings occur every 4-6 hours, and these feedings should include glucose, water, or electrolyte solution. The infant should be fed slowly, burped frequently and the infant should be handled minimally after feedings. The parents should be educated that within 2 days, the infant should have full feeding. This diet should be maintained, and the infant should be monitored for abdominal distention. DOWNLOAD PDFTake the Hypertrophic Pyloric Stenosis (HPS) Interventions QuizPicmonic's rapid review multiple-choice quiz allows you to assess your knowledge. Picmonic for Nursing RN CoversRegistered Nurse (RN) *Average video play time: 2-3 minutes Our Story Mnemonics Increase Mastery and RetentionMemorize facts with phonetic mnemonics Unforgettable characters with concise but impactful videos (2-4 min each) Ace Your Registered Nurse (RN) Classes & Exams with Picmonic:Choose the #1 Registered Nurse (RN) student study app.Works better than traditional Registered Nurse (RN) flashcards. PYLORIC STENOSIS: PYLORIC STENOSIS: Once the diagnosis of congenital hypertrophy pyloric stenosis has been definitely established by a history of projectile vomiting with palpation of the pyloric tumor by an experienced clinician, or if no tumor is palpated but an upper gastrointestinal series demonstrates the typical string sign and an elongated pyloric canal with gastric retention of barium, the main consideration is the preparation of the infant for the Fredet-Ramstedt operation. All these patients demonstrate a varying degree of dehydration, weight loss, and metabolic alkalosis, which need correction prior to surgical intervention. Only when an adequate formula can be taken by mouth and absorbed will the infant be able to replace the protoplasm he has lost and begin to grow. The aim of preoperative treatment is to restore as quickly, but as safely, as possible most of the accumulated electrolyte and water losses; to ensure sufficient hemoglobin and protein content of the blood; to 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 postoperative anesthesia complication is common in infants after surgery for pyloric stenosis?Postoperative Care
Data suggest that infants with pyloric stenosis have an increased incidence of postoperative apnea and bradycardia. These infants should be placed on an apnea and cardiac monitor for 24 hours following the operation.
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