Pyloric_Stenosis_Flashcards
What is the initial management for pyloric stenosis?
The initial management for pyloric stenosis is IV fluid resuscitation.
What is the essential goal of IV fluid resuscitation in pyloric stenosis?
The essential goal is to correct the fluid and electrolyte disturbance before surgery.
What IV fluids are provided for pyloric stenosis resuscitation and at what rate?
IV fluids provided are 5% dextrose + 0.45% saline at 1.5 times the maintenance rate.
When should potassium be added during IV fluid resuscitation for pyloric stenosis?
Potassium should be added once urine output is adequate.
What is the definitive treatment for pyloric stenosis?
The definitive treatment is by performing a Ramstedt pyloromyotomy.
What does a Ramstedt pyloromyotomy involve?
A Ramstedt pyloromyotomy involves dividing the hypertrophied muscle down to but not including the mucosa.
How can a Ramstedt pyloromyotomy be performed?
It can be performed either as an open or laparoscopic procedure.
