Pyloric Stenosis

Case study Ch. 41

Pyloric Stenosis

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Lucy is a 44-day-old formula-fed infant with a 4-day history of vomiting.

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Subjective Data

Mother states that the infant has:

Been vomiting undigested formula after feedings.
Has not had fever or diarrhea.
Has had eight wet diapers in the last 24 hours.
Objective Data

Weight: 4.8 kg

Birth weight: 3.5 kg

Vital signs: temp, 37.1º C (rectal); pulse, 130 bpm; resp, 30 breaths/min; blood pressure,
92/52 mm Hg

Moist mucous membranes; flat and soft anterior fontanel

Awake and alert, lusty cry

Good muscle tone

Olive-sized mass palpated at epigastrium

Questions:

What test will be used to diagnose pyloric stenosis?
What actions should the nurse take in this clinical situation? Prioritize the actions.

 

In: Nursing

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