5 Written questions
5 Matching questions
- Gastric Restrictive Lap. Roux-EN-Y Gastric Preop care
- Pre- operative care for Bowel diversion surgery
- Prep for a colonoscopy
- Billroth I
- a BMI 35-40; Comorbid conditions/obesity related interfering with ADL; tired and failed non-surgical weight reduction; no alcohol or drug abuse; no underlying psychiatric issues concerning obesity
- b Bowel prep
- c Excision of the pylorus with end-to-end anastomosis of the upper portion of the stomach and the duodenum.
- d Generally, all solids must be emptied from the gastrointestinal tract by following a clear liquid diet for 1 to 3 days before the procedure. Patients should not drink beverages containing red or purple dye. A laxative or an enema may be required the night before colonoscopy..NPO after midnight, conscious sedation, Propofol (Diprivan) is a drug that reduces anxiety and tension, and promotes relaxation and sleep or loss of consciousness.
- e is defined as a complete twisting of a loop of intestine around its mesenteric attachment site.
5 Multiple choice questions
- 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.
- it is an essential component of surgical management of peptic (duodenal and gastric) ulcer disease (PUD).
- small meals, skin folds, yeast infections, reinforce diet, sckin care, exercise, 6 weeks liquid puree, coping skills, risk for going back to old habits
- the only effective treatment for pyloric stenosis. It may also be used to treat certain patients with peptic ulcers or other types of gastric disease that cause a blockage of the stomach opening.
- is a surgical procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve of the stomach. The open edges are then attached together with surgical staples sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopic and is not reversible.
5 True/False questions
4 types of Bowel Diversion Surgeries → Colostomy, Ileostomy, Continent Ileostomy, and Ileoanal reservoir surgery
Post- operative care for Bowel diversion surgery → Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
Nursing interventions Goals colonoscopy → 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)
Gastric Restrictive Laparoscopic Adjustable GastricBand → 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.
Panniculectomy → removal of the abdominal apron( the excess fat and skin that may hang down over the genital area and thighs)