See also Sepsis Show
Key points
Background
AssessmentHistory
Antenatal
complications: IUGR, gestational diabetes, congenital abnormality, infections, medication and toxin exposure, previous child with early onset sepsis ExaminationGeneral aspects of the child's behaviour and appearance provide the best indication of whether serious illness is likely Features suggestive of an unwell child
Adapted from: Feverish illness in children NICE guideline 2017 Causes that need to be considered in an unwell neonate and young infant
ManagementAny neonate and young infant who appears unwell should be assessed promptly and discussed with a senior doctor Investigations
Treatment
Consider Consultation with local paediatric team whenAssessing anyunwell neonate or young infant Consider transfer whenChild requiring care beyond the comfort level of the hospital For emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services Consider discharge when
Note: a clinically well child (≥3 months) with normal investigations can be discharged with follow up in 12-24 hours Parent information sheet Fever in children Last updated December 2019 When assessing an infant suspected of having pyloric stenosis which of the following would the nurse expect to find?Classically, the infant with pyloric stenosis has nonbilious vomiting or regurgitation, which may become projectile (in as many as 70% of cases), after which the infant is still hungry. Jaundice. The infant may develop jaundice, which is corrected upon correction of the disease. Dehydration and malnutrition.
Why is my baby still throwing up after pyloric stenosis surgery?However, babies may still vomit for several days after surgery due to swelling of the surgical site of the pyloric muscle. The swelling goes away within a few days. Most babies will be taking their normal feedings by the time they go home. Babies are usually able to go home within two to three days after the operation.
How to fix pyloric stenosis in babies?Surgery is needed to treat pyloric stenosis. The procedure (pyloromyotomy) is often scheduled on the same day as the diagnosis. If your baby is dehydrated or has an electrolyte imbalance, he or she will have fluid replacement before surgery.
What is pyloric stenosis in babies?In pyloric stenosis, the pylorus muscles thicken, blocking food from entering the baby's small intestine. Pyloric stenosis is an uncommon condition in infants that blocks food from entering the small intestine.
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