GI Surgeries (Resections, Esophagogastrectomy, Bariatric) for Progressive Care Certified Nurse (PCCN)

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

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?