5 Written questions
5 Matching questions
- Causes of Paralytic ileus
- Post- operative care for Bowel diversion surgery
- Gastric Restrictive Lap. Roux-EN-Y Gastric Preop care
- 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 removal of the abdominal apron( the excess fat and skin that may hang down over the genital area and thighs)
- c 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.
- d 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.
- e Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
5 Multiple choice questions
- Colostomy, Ileostomy, Continent Ileostomy, and Ileoanal reservoir surgery
- abdominal pain ( waves, general discomfort constant (paralytic ileus) ,Severe, rapid in onset strangulation), silent bowel sounds, N/V, Distention, inability to pass fluids, Ausculation, Temperture,bloody stools, Labs (WBC, H&H, and BUN levels are elevated; LYTES levels are decreased), Abdominal x-rays, barium enema, colonoscopy/sigmoidoscopy.
- 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.
- ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
- Billroth II
5 True/False questions
Types of Gastric surgeries (6) → ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
Bile reflux gastritis → is due to an excessive reflux of duodenal contents into the stomach it will damage gastric mucus
Billroth I → 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.
Common symptoms of Late Dumping Syndrome → happens 1 to 3 hours after eating. Symptoms include weakness, sweating, and dizziness. Many people have both types
Paralytic ileus → 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.