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.
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
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- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
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- Anxiety Disorders
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- Tissues and Glands
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- Microbiology
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- Depressive Disorders
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- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
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- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
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- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
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- Urinary Disorders
- Postpartum Care
- Basic
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- Bipolar Disorders
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- Concepts of Population Health
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- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
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- Childhood Growth and Development
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- Concepts of Pharmacology
- Integumentary Important Points
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- Developmental Theories
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- Growth & Development
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- Med Term Basic
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- Central Nervous System Disorders – Spinal Cord
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- State of Consciousness
- Sensory System