NR507 Week 5 Discussion Etiology of pyloric stenosis

Describe the presentation you would expect to see in a three-month-old baby boy with pyloric stenosis.

1. What is the etiology of pyloric stenosis?
2. How does the pathophysiological process of pyloric stenosis lead to the signs and symptoms?
3. What teaching would the FNP provide to the parents who are managing this infant at home?

ORDER COMPREHESIVE SOLUTION PAPERS ON NR507 Week 5 Discussion – Etiology of pyloric stenosis

Example Approach

Pyloric Stenosis is a condition in infants that prevents food from entering the small intestine. The cause is a dysfunctional pylorus. The pylorus is a muscular valve located between the stomach and small intestines (Mayo Clinic, 2018). The valve’s function is to hold food in the stomach until it is ready for the next stage in the digestive process. Pyloric stenosis occurs when the pyloric muscle thickens and abnormally large, which leads to the blockage of food within the stomach (Mayo Clinic, 2018).

Pyloric stenosis can lead to vomiting, dehydration and weight loss. The baby presented in this discussion may present with increased appetite but decreased weight for his age. The weight loss is secondary to projectile vomiting shortly after eating. The provider should assess for increased intestinal peristalsis, dehydration, and changes in bowel and urinary activity.

Educating parents on the signs and symptoms of pyloric stenosis and the importance of reporting and worsening symptoms to their provider. The parents should be aware that they need to monitor the infant’s bowel movements and urinary amounts during diaper changes. Parents should also note changes in their child weight and mood. Infants with pyloric stenosis can be less active, and more irritable.

Surgery is the primary treatment for pyloric stenosis (Cleveland Clinic, 2018). Pre, intra and post-op parent education is important in the treatment of infants with pyloric stenosis. Pre-op education would include not feeding the child 6 hours before surgery.  Intra-op education would entail providing the parents with what to expect during the surgery. Post op education is the most vital part of parental education. The parents should observe for signs and symptoms of infection, which include redness, and warmth, unusual drainage at the surgical site and fever. The parents should be made aware that vomiting after surgery may occur as a result of anesthesia, but the child should return to eating normally by the time they return home, which is with 1 to 2 days after surgery. Tylenol can be given for the infant’s comfort. Bathing is permitted 3 days post op and steri-strip information should also be provided to the parents (Cleveland Clinic, 2018).

Thank You

References

Pyloric stenosis. (2018, October 23). Retrieved from https://www.mayoclinic.org/diseases-conditions/pyloric-stenosis/symptoms-causes/syc-20351416.

Pyloric Stenosis (HPS) Management and Treatment. (n.d.). Retrieved from https://my.clevelandclinic.org/health/diseases/4524-pyloric-stenosis-hps/management-and-treatment.