Pyloric Stenosis

Question 1

IHPS - Infantile Hypertrophic Pyloric Stenosis. AKA……

Answer 1

Pyloric Stenosis

Question 2

Pyloric Stenosis is the enlargment and thickening of the ______ sphincter with a severe narrowing of the lumen that causing impaired gastric emptying and vomiting.

Answer 2

pyloric

Question 3

At how many weeks after birth will pyloric stenosis present in an infant?

Answer 3

between 2-8 weeks

Question 4

What are the 5 risk factors associated with pyloric stenosis?

Answer 4

-male (first born boys)
-genetics
-antibiotic use in 1st weeks of life
-bottle/formula fed babies

Question 5

-dehydration
-fluid/ electrolyte imbalances
-malnutrition

These are complications or problems associated with what?

Answer 5

pyloric stenosis

Question 6

What are the 3 diagnostics used for pyloric stenosis?

Answer 6

-ABD ultrasound
-radiography (barium swallow)
-Labs

Question 7

What 4 lab values will we look at specifically in an infant with pyloric stenosis?

Answer 7

-BUN
-Creatinine
-PH
-Electrolytes

Question 8

What is the surgery called used to treat pyloric stenosis?

Answer 8

Pyloromyotomy

Question 9

What medication will be given to an infant with pyloric stenosis to help relax the pyloric muscle?

Answer 9

Atropine

Question 10

What will the infants diet status be once its thought that they may have pyloric stenosis?

Answer 10

NPO

Question 11

during treatment of pyloric stenosis, as the nurse it is important to maintain hydration and _____ + _______ integrity.

Answer 11

skin + mouth (oral care)

Question 12

What are the 4 P’s of Pyloric Stenosis?

Answer 12

1. Pyloric Stenosis
2. Palpable Mass
   -olive sized
   -RUQ
   3.Peristalsis is visible
   -wave like motion
   -moves left to right across abdomen
3. Projectile vomiting
   -non bilious
   -within an hour after feeding
   -baby is immediately hungry afterwards