GI

Question 1

What is a gastroduodenostomy?

Answer 1

Billroth I: involves removing the distal two-thirds of the stomach with anastomosis of the remaining stomach to the duodenum.

• Following this surgery, clients need to remain NPO until bowel sounds return (want to prevent dumping syndrome)
• Want to encourage clients to turn, cough, and deep breathe while splinting the surgical site to prevent development of atelectasis.
• In postop period, keep head of bed elevated

Question 2

Clogged NG tubes should be reported to the surgeon. T/F

Answer 2

TRUE: Attempting to flush of manipulate the device may disrupt line, cause hemorrhage or gastric perforation.

Question 3

What is a known complication of TPN?

Answer 3

Hyperglycemia: If your patient is c/o excessive thirst, increased urination, abdominal pain, headache, fatigue, and blurred vision –> CHECK THEIR BG

How to resolve hyperglycemia? Slow down the infusion rate, reducing the amount of carbs in the TPN, or administering subcutaneous insulin

Question 4

Acute pancreatitis goals/strategies:

Answer 4

1. NPO status: NG tube is used to suction out gastric secretions
2. Pain management: hydromorphone, fentanyl
3. IV fluids

Question 5

Administration of albumin following a para is to avoid what complication?

Answer 5

Hypotension!!
Clients receive albumin, which increases intravascular oncotic pressure resulting in increased intravascular fluid volume.
-Prevents hypotension and tachycardia

Question 6

Good sources of vitamin D and calcium:

Answer 6

• Fish (sardines, salmon, trout)
• Tofu
• Some green veggies (spinach, kale, broccoli)
• Egg yolk
• Tuna