Nursing Care in Infantile Hypertrophic Pyloric Stenosis and Anaphylaxis Patient : case study

Abstract

              Infantile hypertrophic pyloric stenosis is a condition that muscle of pylorus; lower portion of the stomach that connects to the small intestine, becomes abnormally thickened and manifests as narrowing the opening between stomach and small intestine. The infant presents with forcefully projectile vomiting which is often characterized as white, nonbilious and sour-smelled vomiting.

               In this case, a 1-month-old infant boy was admitted to the hospital with symptoms of non-bile stained as well as projectile vomiting and was referred to pediatric surgeon to do ultrasound and upper GI study after appropriately initial assessment. Thanks to careful medical care and immediate emergency treatment of professional medical team, the infant was safe without anaphylactic shock and fully recovered from anaphylaxis allergy that was caused by barium after doing upper GI study. Eventually, the infant patient’s illness was diagnosed as infantile hypertrophic pyloric stenosis (IHPS) and treated with pyloromyotomy surgery. The patient was well prepared before surgery in order to prevention of dehydration, nutrition deficiency, electrolyte imbalance, anaphylactic shock and relief of flatulence as well as emesis. Moreover, the patient’s family were given instruction about how to take care of the patient before doing surgery and going under general anesthesia.  After surgery, the patient was relieved pain by nursing care team together with precaution of dehydration, mineral insufficiency and complication such as hypovolemic shock, wound infection, aspiration and airway obstruction. In addition, the patient’s relatives were received advice about post-surgery home care. After admitted in hospital for 9 days, the patient was safe and had healed wound without pain and any complications after surgery. Three months later, following up process of 4-month-old infant patient found that the infant could drink milk without vomiting as well as had weight gained to 7.3 kg with normal development and get vaccines following a recommended guideline.

               Case study results bring about development of nursing care in infantile hypertrophic pyloric stenosis and anaphylactic patients. Creating guideline for nursing care in infantile patients before and after surgery including interpretation of lab results in infantile patients as well.