PYLORIC STENOSIS

Question 1

is the opening between the lower portion of the stomach and the beginning portion of the intestine

Answer 1

Pyloric Sphincter

Question 2

Hypertrophy or hyperplasia of the muscle surrounding the sphincter occurs

Answer 2

Pyloric Stenosis

Question 3

Incidence of Pyloric Stenosis in Males

Answer 3

ratio of 1:150

Question 4

Incidence of Pyloric Stenosis in Females

Answer 4

ration of 1:750

Question 5

For pyloric stenosis at what weeks of age does infants typically begin to vomit almost immediately after feeding.

Answer 5

around 4 to 6 weeks

Question 6

Projectile vomit is projecting as much as

Answer 6

3 to 4 ft

Question 7

Breast or chestfed infants begin have symptoms at

Answer 7

6 weeks

Question 8

formula-fed infants typically begin having symptoms at closer to

Answer 8

4 weeks of age

Question 9

Infants present signs of dehydration such as

Answer 9

*dry mucous membrane of the mouth
*sunken fontanelles
*fever
*decreased urine output
*poor skin turgor
*weight loss

Question 10

may be present because of the excessive loss of chloride from the loss of stomach fluid

Answer 10

Alkalosis

Question 11

occurs as the body attempts to compensate for the alkalosis

Answer 11

Hypopnea

Question 12

normal levels of HCO3 content

Answer 12

22 to 28 mEq/L

Question 13

will diagnose and show a hypertrophied sphincter

Answer 13

Ultrasound

Question 14

Treatment for Pyloric Stenosis

Answer 14

Surgical or Laparoscopic Correction (pyloromyotomy)

Question 15

In pyloric stenosis, if electrolyte imbalance, dehydration, and starvation have already occurred, these must be be corrected by administration of

Answer 15

IV fluid,

Question 16

What type of IV fluid to be given for pyloric stenosis

Answer 16

usually isotonic saline or 5% glucose saline.

Question 17

an _________ may be used for diagnosis by directly visualizing the hypertrophied sphincter

Answer 17

Endoscopy

Question 18

an infant who is receiving only IV fluid generally needs a ______ to meet nonnutritive sucking

Answer 18

pacifier

Question 19

Tetany is verified by

Answer 19

low calcium levels on blood analysis

Question 20

If tetany is present, what must be administered

Answer 20

IV calcium

Question 21

pylorus meaning in latin

Answer 21

“gate”

Question 22

Nursing Diagnosis for Pyloric Stenosis:

Answer 22

*Imbalanced Nutrition: less than body requirements related to inability to absorb food
*Deficient fluid volume related to frequent vomiting
*Risk for Electrolyte Imbalance as related to excessive vomiting
*Risk for Impaired Skin Integrity related to fluid deficit
*Risk for Impaired Oral Mucous Membrane Integrity related to NPO status

Question 23

decreases muscular contraction and gastrointestinal movement, interrupting the cycle that leads to these symptoms

Answer 23

Atropine Sulfate

Question 24

what is atropine sulfate

Answer 24

it is a muscarinic acetylcholine inhibitor