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Nursing Diagnosis For Pyloric Stenosis
So baby is safe: Most babies begin vomiting an the doc changes formulas a few times as the vomiting can be reflux. However, if it continues the repeated vomiting will lead to abnormalities in the babies chemical balance in the blood and can lead to dehydration and shock. So, early diagnosis leads to early treatment and requires less rehydration before surgery. ...Read moreSee 2 more doctor answers
Pulmonary stenosis: There are a number of variables that pediatric cardiologists and heart surgeons take into consideration when determining how to approach pulmonary valve stenosis in a neonate. Generally speaking, a catheter-based approach is desirable to avoid surgery, and may be attempted first provided that the anatomy and other patient factors are amenable to that. ...Read more
Pulmonary stenosis: Patients with pulmonary valve stenosis generally receive one of three management strategies, depending upon severity of symptoms and degree of stenosis as well as how abnormal the valve itself is: one, balloon valvuloplasty, consists of opening the valve through a catheter inserted into the heart; two, involves surgical to repair/replace valve; third, continued monitoring until intervention needed. ...Read more
Hydration + surgery: If you are talking about a young infant with hypertrophic pyloric stenosis, the first part of treatment is IV hydration to correct any dehydration present. Once the baby is well-hydrated, he/she undergoes operation, a pyloromyotomy, in which the hypertrophic pyloric muscle fibers are cut so that the stomach can empty properly. The operation can be done openly or laparoscopically. ...Read moreSee 2 more doctor answers
Can you tell me the management options for a 17 day old neonate with severe(ppg 115mmhg) pulmonary valvular stenosis?
Care: Depending on the degree of stenosis, patients should avoid exertion that can cause passing out. Best is to do light activities and not to exercise (more than casual walking). Control fluid and salt intake to avoid fluid overload. Use meds judiciously to prevent fluid overload or passing out due to low blood pressure. Get the surgery done soon! ...Read more
Follow advice: Now that the scariest part is over, it is important that you follow your post-op instructions to the letter (these should have been provided to you upon discharge, if not, contact your surgeons office for a copy), keep your follow up appointment, and watch for symptoms of stenosis recurrence (this is uncommon, but CAN happen). ...Read moreSee 1 more doctor answer
None to surgery : Up to 20% of the population will have stenosis by imaging studies by age 60. A lot have little to minimal symptoms. Treatment can include: medication, exercise/physical therapy, zero degree lordosis brace, epidural steroid injections & if all treatment fails & symptoms warrant it, surgery in terms of decompressing the neural elements by a laminectomy in the lower back & several options in neck. ...Read moreSee 1 more doctor answer
Not always known: Pyloric stenosis can have either an environmental or a genetic cause, and when occurring together these two will raise the likelihood of occurring.Pyloric stenosis is four times more common in males. Some families have aggregate of cases in certain familiies. It's about four times more likely to occur in firstborn male infants ...Read moreSee 2 more doctor answers
Last Resort: Yes, surgery is recommended after you fail conservative non-surgical treatments -- including nsaids, pt, epidural injections. If you continue to have persisting symptoms, then surgery could offer some great symptomatic relief of your extremity symptoms. Consult a spine surgeon. Also surgery if you start experiencing progressive neurological deficit, or changes in your bowel or bladder function. ...Read moreSee 1 more doctor answer
Uncontrolled BP: When a patient who is taking 3 or 4 blood presure medicines but still has an elevated blood pressure, then they should be screened for renal artery stenosis (ras). Additionally, any individuals who are younger then 30 or older than 60 who have blood pressures in 200/100 range should also be checked. ...Read moreSee 2 more doctor answers
Fortunately, rarely: Pyloric stenosis is treated with pyloromyotomy- surgery to spread the thickened muscle fibers apart and open the channel so food can exit. Complications are very uncommon but include bleeding, infection of the skin incision, perforation, incomplete opening of the muscle. Even after surgery some babies continue to have vomiting from reflux or gastritis- but overall surgery is very safe! ...Read moreSee 2 more doctor answers
Get the flu shot: Of course after a pulmonary valve replacement or repair, your child is going to be in the cardiac ICU for a period of time and on the floor. There's going to be ample time to get advice on what to do. Make sure they get the flu shot, and more than likely your child is going to need antibiotics before dental cleanings and certain medical procedures. Make sure they always get that taken care of. ...Read moreSee 1 more doctor answer
Follow up to previous question. Can severe pain after bm in patient with ankylosing spodylitis or spinal stenosis be warning for cauda equina syndrom?
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