Nurse Cecile is caring for a client who underwent a subtotal gastrectomy. To manage dumping syndrome, the nurse should advise the client to:
a- restrict fluid intake to 1 qt (1,000 ml)/day
b- drink liquids only with meals
c- don’t drink liquids 2 hours before meals
d- drink liquids only between meals
Answer D.
A client who experiences dumping syndrome after a subtotal gastrectomy should be advised to ingest liquids between meals rather than with meals. Taking fluids between meals allows for adequate hydration, reduces the amount of bulk ingested with meals, and aids in the prevention of rapid gastric emptying. There is no need to restrict the amount of fluids, just the time when the client drinks fluids. Drinking liquids with meals increases the risk of dumping syndrome by increasing the amount of bulk and stimulating rapid gastric emptying. Small amounts of water are allowable before meals.
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Gastrectomy and surgical operation consisting of partial or total resection of the stomach.
It can be used in malures stomach stomachs that belong to the ceruxía, the small benign tumors. In practice, the main applications are: complicated gastroduodenal ulcer (fury, hemorrhage, stenosis) and gastric carcinoma.
Tribes:
Radical Gastrectomy:
It consists of the extraction of stomach tol and the cellulo-lymphatic texts of the hall.
Suel faese on way in the presence of cancanu d'estomagu (gastric carcinoma).
Total Gastrectomy:
It consists of the removal of the stomach, from the cardies to the pylorus.
The stump d'esófagu xúnese directly to the ileu or the colon, and is progressively dilating, forming a kind of new stomach (neo-stomach).
There is a subtype that goes subtotal gastrectomy, with three purposes of operation:
- Gastroduodenostomy (Bilroth I): Xuniendo'l stump directly col cabu duodenu. It is the most physioxic variety.
- Gastroyejunostomy (Bilroth II or Anastomosis n'ω): Xuniendo'l tail stump convesidá d'una of the first intestinal aces, arranged in a way that forms the uppercase Greek omega lletra.
- Gastroyejunostomy n'Y of Roux: A stump d'stomagu xúnese to the cabu seicionáu d'a intestinal loop, which is duodenu xue'l duodenu llaterally to the intestinal loop.
Partial Gastrectomy:
It consists of a resection of a part of the stomach. Be carried out in selective pathological pictures of the constitutive text of the stomach, such as gastric or duodenal ulcer.
Resection almost always involves the elimination of the pylorus. Transition from the stomach to the intestine is secured by a gastroduodenostomy; more frequently, the xuenza faise tres of the stump of the stomach jejunu (Polya operation, Finsterer operation, Kocher operation, etc.).
Consequencies:
The total or subtotal lack of the stomach implies the lack of production of the gastric xugu, because the gastrectomy needs a particular diet, it must be particularly digestible and well divided throughout the day. Amás d'esto, can administer animal or vexetal proteolytic enzymes (trypsin, pepsin, bromelain, papain, etc.).
a- restrict fluid intake to 1 qt (1,000 ml)/day
b- drink liquids only with meals
c- don’t drink liquids 2 hours before meals
d- drink liquids only between meals
Answer D.
A client who experiences dumping syndrome after a subtotal gastrectomy should be advised to ingest liquids between meals rather than with meals. Taking fluids between meals allows for adequate hydration, reduces the amount of bulk ingested with meals, and aids in the prevention of rapid gastric emptying. There is no need to restrict the amount of fluids, just the time when the client drinks fluids. Drinking liquids with meals increases the risk of dumping syndrome by increasing the amount of bulk and stimulating rapid gastric emptying. Small amounts of water are allowable before meals.
----------------------------
Gastrectomy and surgical operation consisting of partial or total resection of the stomach.
It can be used in malures stomach stomachs that belong to the ceruxía, the small benign tumors. In practice, the main applications are: complicated gastroduodenal ulcer (fury, hemorrhage, stenosis) and gastric carcinoma.
Tribes:
Radical Gastrectomy:
It consists of the extraction of stomach tol and the cellulo-lymphatic texts of the hall.
Suel faese on way in the presence of cancanu d'estomagu (gastric carcinoma).
Total Gastrectomy:
It consists of the removal of the stomach, from the cardies to the pylorus.
The stump d'esófagu xúnese directly to the ileu or the colon, and is progressively dilating, forming a kind of new stomach (neo-stomach).
There is a subtype that goes subtotal gastrectomy, with three purposes of operation:
- Gastroduodenostomy (Bilroth I): Xuniendo'l stump directly col cabu duodenu. It is the most physioxic variety.
- Gastroyejunostomy (Bilroth II or Anastomosis n'ω): Xuniendo'l tail stump convesidá d'una of the first intestinal aces, arranged in a way that forms the uppercase Greek omega lletra.
- Gastroyejunostomy n'Y of Roux: A stump d'stomagu xúnese to the cabu seicionáu d'a intestinal loop, which is duodenu xue'l duodenu llaterally to the intestinal loop.
Partial Gastrectomy:
It consists of a resection of a part of the stomach. Be carried out in selective pathological pictures of the constitutive text of the stomach, such as gastric or duodenal ulcer.
Resection almost always involves the elimination of the pylorus. Transition from the stomach to the intestine is secured by a gastroduodenostomy; more frequently, the xuenza faise tres of the stump of the stomach jejunu (Polya operation, Finsterer operation, Kocher operation, etc.).
Consequencies:
The total or subtotal lack of the stomach implies the lack of production of the gastric xugu, because the gastrectomy needs a particular diet, it must be particularly digestible and well divided throughout the day. Amás d'esto, can administer animal or vexetal proteolytic enzymes (trypsin, pepsin, bromelain, papain, etc.).
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Psychosocial Integrity