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Unformatted text preview: PYLORIC STENOSIS Is the narrowing of the pyloric sphincter at the outlet of the stomach ETIOLOGY: uk PATHOPHYSIOLOGY: 1. The pylorus narrows 2. This leads to obstruction of the pyloric sphincter CLINICAL MANIFESTATIONS: 1. No abnormal signs in the first weeks after birth 2. Regurgitation or non-projectile vomiting 3. Vomiting increases in frequency and force 4. No signs of anorexia 5. No evidence of pain 6. Weight loss 7. Upper abdominal distention 8. Palpable mass 9. Visible gastric peristaltic wave 10. Decreased frequency and volume of stools 11. Signs of malnutrition and dehydration LABORATORY STUDIES: 1. UTZ and upper-GI study 2. ABG 3. Electrolyte studies 4. CBC NURSING MANAGEMENT 1. Monitor feeding pattern and association between feedings and vomiting 2. Assess the amount, character and frequency of vomitus 3. Promote adequate hydration 4. Prevent aspiration 5. Provide post-operative care 6. Provide family teaching ...
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This note was uploaded on 05/16/2011 for the course NURSING 112 taught by Professor Brinley during the Spring '11 term at Pace.

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