Term
GASTRIC SURGERY
SURGERY – POST OP CARE
PAIN MANAGEMENT... |
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Definition
| TO FACILITATE BREATHING & MOBILIZATION |
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Term
GASTRIC SURGERY
SURGERY – POST OP CARE
HOW OFFTIN DO YOU TURN THE PT?
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Definition
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Term
GASTRIC SURGERY
SURGERY – POST OP CARE
WHO'S JOB IS IT TO IS,C&BD THE PT?
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Definition
THIS IS THE NURSE’S JOB
IS, C&DB – QIH WA
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Term
GASTRIC SURGERY
SURGERY – POST OP CARE
OTHER
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Definition
EARLY MOBILIZATION,
INCISION CARE,
NPO
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Term
GASTRIC SURGERY
NG TUBE CARE
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Definition
EXPECT SMALL AMOUNTS DARK OLD BLOODY DRAINAGE X 8 –12 HRS. THEN YELLOW-GREEN.
A LOT OF BLOOD, ESP. BRIGHT RED, MUST BE REPORTED TO MD STAT.
CLOSELY MONITOR FOR OCCLUSION – ACCUMULATION OF DRAINAGE CAN STRAIN SUTURE LINE
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Term
GASTRIC SURGERY
NG TUBE CARE
DO NOT................. |
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Definition
MOVE, REPOSITION OR IRRIGATE WITHOUT MD ORDER R/T CAN PERFORATE SUTURE LINE
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Term
GASTRIC SURGERY
NG TUBE CARE
IF ORDER TO IRRIGATE NG USE |
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Definition
ONLY » 20CC NS & BE VERY GENTLE
IN A 10CC SYRINGE |
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Term
GASTRIC SURGERY
NG TUBE CARE
MONITOR FOR BOWEL........ |
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Definition
SOUNDS & PASSING FLATUS (USU. WITHIN 48 HRS.) TO KNOW WHEN TO EXPECT MD ORDER TO D/C NG & START PO
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Term
GASTRIC SURGERY
NG TUBE CARE
MAY NEED VITAMIN....... |
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Definition
| B12 INJECTIONS FOR LIFE DEPENDING ON WHAT PORTION OF STOMACH REMOVED – DIE IN 5 YRS. WITHOUT IT |
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Term
GASTRIC SURGERY
COMPLICATIONS
DUMPING SYNDROME |
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Definition
| OCCURS AFTER GASTROJEJUNOSTOMY & SOME VAGOTOMIES & PYLOROPLASTIES |
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Term
GASTRIC SURGERY
DUMPING SYNDROME
PATHO
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Definition
CHYME IS HYPERTONIC & ENTERS JEJUNUM RAPIDLY CAUSING:
DISTENTION DRAWS FLUID TO ITSELF FROM VASCULAR SPACE ® HYPOVOLEMIA & MORE BOWEL DISTENTION LOW BP & DIARRHEA
CHO IN HYPERTONIC CHYME ABSORBED RAPIDLY SHARP RISE IN BLOOD GLUCOSE PANCREAS SECRETES INSULIN BLOOD GLUCOSE DROPS SHARPLY HYPOGLYCEMIA
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Term
GASTRIC SURGERY
DUMPING SYNDROME
CLINICAL MANIFESTATIONS
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Definition
| SENSATION OF FULLNESS, WEAKNESS, FAINTNESS, DIZZINESS, SYNCOPE, PALPITATIONS, DIAPHORESIS, ABD CRAMPING, DIARRHEA, PALLOR, HEADACHE, FEELINGS OF WARMTH, DROWSINESS |
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Term
GASTRIC SURGERY
DUMPING SYNDROME
TEACH PT
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Definition
LIE DOWN 20-30 MIN. AFTER EATING TO DELAY GASTRIC EMPTYING
NO FLUIDS WITH MEALS (CAN HAVE 1 HR. BEFORE & 1 HR. AFTER)
LOW CHO (ESP. SIMPLE CHO) MEALS TO DECREASE TONICITY OF CHYME
SMALL FREQ. MEALS, EAT SLOWLY
ANTISPASMODICS TO DELAY GASTRIC EMPTYING
SAFETY R/T FALLING WHILE DIZZY
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