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Nursing Care of Patients with Alterations in the GI tract
 

Nursing Care of Patients with Alterations in the GI tract

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  • Slide 54. I was under the impression that Duodenal ulcers are relieved with food. Gastric Ulcers are aggravated by food.
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  • This is a child.***Acquired umbilical hernia may be seen if patient is 50 pounds above ideal body weight**With complaint of abd pain, nausea, vomiting and hypoactive BS consider intestinal obstruction
  • Minimally invasive commonly used**Will have an NG tube post-op—usually dark brown (old blood) for first 8 hours—just document**Keep head of bed elevated 30 degrees in the immediate post-op periodPost opSoft foods for one week, stay on antireflux meds, no driving, report fever > 101, nausea vomiting or bloating. Walk daily **otify provider if develops signs of a cold**Gas bloat is common—avoid gasy foods and eat small frequent meals.
  • A Colostomy is when only part of the large intestine is removed whereas an Ileostomy involves the removal of the whole of the large intestine and often the rectum as well. The distinguishing feature between a colostomy and an ileostomy is that in a colostomy, the stoma is made out of the large bowel and the stoma is therefore a little bigger than for an ileostomy where the stoma is made from the small intestine. Both colostomies and ileostomies can either be permanent or temporary. A Urostomy is when the bladder is bypassed or removed
  • Historically, the standard operation for ulcerative colitis has been removal of the entire colon, rectum, and anus. This operation is called a proctocolectomy (Illustration A) and may be performed in one or more stages. It cures the disease and removes all risk of developing cancer in the colon or rectum. However, this operation requires creation of a Brooke ileostomy (bringing the end of the remaining bowel through the abdomen wall, Illustration B) and chronic use of an appliance on the abdominal wall to collect waste from the bowel

Nursing Care of Patients with Alterations in the GI tract Nursing Care of Patients with Alterations in the GI tract Presentation Transcript