GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)
Included In This Lesson
Outline
GI Surgeries (Resections, Esophagogastrectomy, Bariatric)
Definition/Etiology:
- Possible Surgeries
- Resections of intestine
- Esophagogastrectomy
- Bariatric
Pathophysiology:
- Prepping for Surgery
- Expected for Surgery
- Consent
- Abx
- GI specific
- GI Prep- maybe?
- Bariatric considerations
- Expected for Surgery
Noticing: Assessment & Recognizing Cues:
- Bowel sounds
- Drain management
- Ostomy management
Interpreting: Analyzing & Planning:
- Recognizing Potential complications
- Ileus
- Obstruction (4 cardinal signs- pain, vomiting, obstipation/constipation, distention)
- Bleeding
- Infection
Responding: Patient Interventions & Taking Action:
- Managing potential complications
- Gi Surgery (in general)
- Ileus
- Obstruction
- Bleeding
- Infection
- Bariatric-specific
- Nutrition
- Elimination
Reflecting: Evaluating Patient Outcomes:
- GI surgery (in general)
- Complications (avoided or resolved)
- Bariatric
- Nutrition (specific post-op diet with gradual advancement, possible collab with dietician)
- Elimination
- (Discuss adjustments the bariatric patient will have to make to supplement nutrition and avoid elimination issues).
Linchpins (Key Points):
- Whatever is removed no longer works.
- Resection = remove part, glue together
- Esophagogastectomy= part of esophagus and stomach
- Bariatric surgery= what is removed/adjusted?
Transcript
References
- Mayo Clinic. (2022a). Bariatric surgery. https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258.
- Mayo Clinic. (2022b). Esophagectomy. https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084.