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9 Cards in this Set
- Front
- Back
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Narrowing of the pyloric sphincter at the outlet of the stomach (overgrowth and hypertrophy)
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pyloric stenosis
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highest risk for pyloric stenosis and age of onset
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first born, white, full term males; age of onset usually 2-8 weeks
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classic sign of pyloric stenosis
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projectile vomiting and moveable "olive" in the right upper quadrant
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Hypertrophic muscle is split down to the mucosa so that the mucosa can buldge through the slit allowing for adequate passage of gastric contents
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pyloromyotomy
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Reveals delayed gastric emptying and an elongated pyloric canal in a patient with pyloric stenosis
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Ultrasound
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Why do kids who have pyloromyotomy's performed have a risk for aspiration?
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vomiting is common for the first 24-48 hours
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How to prevent a child from sucking in air post pyloromyotomy?
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use a nipple with a small hole and keep the nipple filled with milk.
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Downs regimen
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begin PO with small frequent clear liquids (with glucose and electrolytes) 4-6 hours post op.
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Positioning s/p pyloromyotomy
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after feeding... keep head up, place on right side to aid of fluid flow through the pyloric shincter
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