5 Written Questions
5 Matching Questions
- Nursing interventions Goals colonoscopy
- Bariatric Surgery Nursing Diagnosis
- Gastric Restrictive Laparoscopic Adjustable GastricBand
- Continent Ileostomy,
- Post- operative care for Bowel diversion surgery
- a chance for malnutrition
- b Using laparoscopic tools, the surgeon places an adjustable silicone band around the upper part of the stomach. Squeezed by the silicone band, the stomach becomes a pouch with about an inch-wide outlet. After banding, the stomach can only hold about an ounce of food. A plastic tube runs from the silicone band to a device just under the skin. Saline (sterile salt water) can be injected or removed through the skin, flowing into or out of the silicone band. Injecting saline fills the band and makes it tighter. In this way, the band can be tightened or loosened as needed. This can reduce side effects and improve weight loss.
- c to decompress intestine by removal of gas and fluid, ON/G or intestinal tube (NG tube most common), Correction amd maitainance of fluid/electrolyte balance OIV/TPN, Removal or relief of obstruction (surgical intervention)
- d Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
- e is an option for people who are not good candidates for ileoanal reservoir surgery because of damage to the rectum or anus but do not want to wear an ostomy pouch. As with ileoanal reservoir surgery, the large intestine is removed and a colon-like pouch, called a Kock pouch, is made from the end of the ileum. The surgeon connects the Kock pouch to a stoma. A Kock pouch must be drained each day by inserting a tube through the stoma. An ostomy pouch is not needed and the stoma is covered by a patch when it is not in use.
5 Multiple Choice Questions
- Excision of the pylorus with end-to-end anastomosis of the upper portion of the stomach and the duodenum.
- the stomach is divided, and a small pouch, which limits calories that can be taken in on a daily basis to less than 1,000, is formed as simultaneously the majority of the stomach is sealed off. A portion of the small intestine is then divided and sewn to the newly created small stomach pouch. This process limits the body's ability to absorb calories. This procedure is performed as a laparoscopic surgery.However it can be performed as a standard open surgery.
- diverts the ileum to a stoma. Semisolid waste flows out of the stoma and collects in an ostomy pouch, which must be emptied several times a day. An ileostomy bypasses the colon, rectum, and anus and has the fewest complications.
- it is an essential component of surgical management of peptic (duodenal and gastric) ulcer disease (PUD).
- include electrolyte imbalances, gastroenteritis (inflammation or infection of the stomach or intestines), appendicitis, pancreatitis (inflammation of the pancreas), surgical complications, and obstruction of the mesenteric artery, which supplies blood to the abdomen. Certain drugs and medications, such as opioids and sedatives, can cause ileus by slowing peristalsis, the contractions that propel food through the digestive tract.
5 True/False Questions
colonoscopy → is similar to an ileostomy, but the colon—not the ileum—is diverted to a stoma. As with an ileostomy, stool collects in an ostomy pouch.
4 types of Bowel Diversion Surgeries → Gastrectomy, Vagotomy, Pylorplasty, Gastroduodenostomy, Gastrojejunostomy, and Gastroenterostomy
Why is a Gastroduodenostomy (Billroth I) performed → is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum.
Intestinal pseudoobstruction → is decreased ability of the intestine to push food through, and often causes dilation of various parts of the bowel. It can be a primary condition (idiopathic or inherited) or caused by another disease (secondary). The clinical and radiological findings are often similar to true intestinal obstruction.
Common symptoms of Early Dumping Syndrome → happens 1 to 3 hours after eating. Symptoms include weakness, sweating, and dizziness. Many people have both types