Ati Active Learning Template System Disorder

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ACTIVE LEARNING TEMPLATE: System Disorder

Sheaneed Martinez
STUDENT NAME______________________________________
Pyloric Stenosis
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________

Alterations in Pathophysiology Related Health Promotion and


Health (Diagnosis) to Client Problem Disease Prevention

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings -Studies have
indicated a higher
incidence of the
disorder in infants who
received oral
erythromycin before 2
weeks of age.
-Be alert for signs of
an electrolyte and/or
Laboratory Tests Diagnostic Procedures acid–base imbalance.
-Withhold oral
feedings
preoperatively
because projectile
vomiting
will continue until the
obstruction is relieved.

PATIENT-CENTERED CARE Complications


-Duodenal perforation -
Nursing Care Medications Client Education may go undetected
especially in laparoscopy
-Continued
postoperative bleeding.
-Persistent vomiting (due
to incomplete
pyloromyotomy)
dehydration, weight loss,
and severe electrolyte
imbalance (hypokalemic
and kypochloremic
Therapeutic Procedures Interprofessional Care metabolic alkalosis).
An abdominal ultrasound to determine the diameter and
length of the pyloric muscle is the preferred method performed
-Foveolar cell
to confirm the diagnosis.
Blood tests will determine if the child is dehydrated or has an electrolyte or
hyperplasia (FCH), a
acid–base imbalance. Infants with pyloric stenosis are at risk for
hypochloremia, hypokalemia, and metabolic alkalosis; however, recent studies
rare cause of persistent
show that normal laboratory values are found most often. This could be
attributed to earlier diagnosis and the increased use of ultrasound gastric outlet obstruction.
to confirm the diagnosis.
Surgery is performed as soon as possible after the
infant’s fluid and electrolyte balance is restored.
Laparoscopic pyloromyotomy is the preferred surgical method to
correct pyloric stenosis. In a pyloromyotomy,
the pyloric muscle is split to allow the passage
of food and fluid. The prognosis is good. The infant is usually
taking fluids within a few hours following surgery and
discharged on full-strength formula within 24 hours after
surgery.

ACTIVE LEARNING TEMPLATES

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