5 Written questions
5 Matching questions
- Criteria for Gastric surgery (6)
- Clinical manifestation of complete or partial bowel obstruction
- Intestinal pseudoobstruction
- Pathophysiology of complete or partial bowel obstruction
- a ulcers, hemorrhage, trauma or sepsis, malignancies, obstruction, and obesity
- b 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.
- c 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.
- d a surgical procedure to widen the opening in the lower part of the stomach (pylorus) so that the stomach contents can empty into the small intestine (duodenum)
- e 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
5 Multiple choice questions
- Occlusion of the lumen of the intestinal tract; small intestine adhesions, neoplasm; large intestine carcinoma ( most common cause); Volvulus; Diverticular diseases; and Intussusception
- Stoma: volume/consistency/ amt of drainage; pouch and skin care; Ileostomy: fluid and electrolyte drainage, usually high output; teaching
- 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.
- 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.
- Larger bed; N/G; Anastomotic leaks; Nutrition dense diet for the first 6 weeks; Dumping Syndrome; Vitamin/mineral/nutrient replacement; Long term improvement in obesity related conditions.
5 True/False questions
Dumping syndrome (rapid gastric emptying, ) → Billroth II
Bariatric Surgery Nursing Diagnosis → chance for malnutrition
Billroth I → Excision of the pylorus with end-to-end anastomosis of the upper portion of the stomach and the duodenum.
Postprandial hypoglycemia → bolus of concentrated carbohydrate; hyperglycemia : excessive release of insulin
Why is a Gastroduodenostomy (Billroth I) performed → it is a gastrointestinal reconstruction technique. It may be performed in cases of stomach cancer, a malfunctioning pyloric valve, gastric obstruction, and peptic ulcers.