5 Written questions
5 Matching questions
- Gastric Restrictive Lap. Roux-EN-Y Gastric Candidate Evaluation Preop
- Why perform a Pylorplasty
- Bariatric Surgery Nursing Diagnosis
- Paralytic ileus
- Gastric Restrictive Lap. Roux-EN-Y Gastric bypass
- a is the occurrence of intestinal blockage in the absence of an actual physical obstruction. This type of blockage is caused by a malfunction in the nerves and muscles in the intestine that impairs digestive movement.
- b 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.
- c Medically managed weight loss program; Nutrition counseling; Psychological screening; Stress test; EKG; Blood studies/ X-rays; Surgeon screening
- d chance for malnutrition
- e 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.
5 Multiple choice questions
- 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.
- 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.
- 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)
- Gastrectomy, Vagotomy, Pylorplasty, Gastroduodenostomy, Gastrojejunostomy, and Gastroenterostomy
- 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.
5 True/False questions
Postprandial hypoglycemia → removal of the abdominal apron( the excess fat and skin that may hang down over the genital area and thighs)
Ileostomy, → 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.
Bariatric Surgery Teaching → chance for malnutrition
Pathophysiology of complete or partial bowel obstruction → fluids, gas and intestinal contents accumulates proximal to the intestinal obstruction. distension; distal bowel may collapse. Edema, congestion and rupture of bowel- retention of fluid in intestinal and peritoneum; reduction in circulation blood volume, shock; electrolyte fluids retain in bowel- high obstruction- metabolic alkolosis, small bowel- dehydration, large bowel- most GI fluids already absorbed
Complications of gastric surgery (3) → ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity