Education for Laparoscopid Cholecustectomy and Prevention of
Complications
- Correct Answer - Provide patient education about managing
postoperative pain and reporting signs and symptoms of intra-abdominal
complications, including loss of appetite, vomiting, pain, distention of the
abdomen, and temperature elevation. Although recovery from
laparoscopic cholecystectomy is rapid, patients are drowsy afterward.
The patient must have assistance at home during the first 24 to 48
hours. If pain occurs in the right shoulder or scapular area (from
,migration of the carbon dioxide used to insufflate the abdominal cavity
during the procedure), the nurse may recommend a heating pad for 15
to 20 minutes hourly.
Medication to Treat H. Pylori
- Correct Answer - Antibiotics
PPI
Possibly Bismuth Salt
PUD Medication Information
- Correct Answer - Currently, the most commonly used therapy for
peptic ulcers is a combination of antibiotics, proton pump inhibitors, and
sometimes bismuth salts that suppress or eradicate H. pylori.
Ranitidine is an H2 receptor antagonist that is used to treat peptic ulcer
disease however is not the recommended treatment for H. pylori. H2
blockers and proton pump inhibitors that reduce gastric acid secretion
are used to treat ulcers not associated with H. pylori infection.
Maintenance dosages of H2 blockers are usually recommended for 1
year.
Avoid the use of aspirin and other NSAIDs.
H2 receptor antagonists are taken at bedtime if prescribed once per day
Common Symptoms of Appendicitis & How to know when it bursts
- Correct Answer - Typical signs of appendicitis include low-grade fever,
nausea and vomiting. Appendicitis manifests as vague periumbilical pain
with anorexia that progresses to right lower quadrant sharp pain and
nausea. Constipation or diarrhea may also occur with appendicitis. The
abdomen is typically distended from a paralytic ileus with appendicitis
that has ruptured.
, When pain stops, that means the appendix has ruptured!
Care Plan for Suspected Appendicitis
- Correct Answer - NPO
Replacing fluids to prevent dehydration
Providing pain medication
Keeping the client on bedrest
Administering of Antiemetics
Prepare for surgery
S/S of Peritonitis & What its a complication of
- Correct Answer - Peritonitis is a life-threatening, acute inflammation
and infection of the visceral/parietal peritoneum and endothelial lining of
the abdominal cavity. One of the big complication of appendicitis
Generalized Abdominal pain.
Tenderness: Rebound tenderness and abdominal guarding on the
affected region. This should be reported to provider right away.
Fever, ascites, tachycardia,
Decreased bowel sounds, nausea and vomiting.
Treatment for Appendicitis, Peritonitis, and Diverticulitis
- Correct Answer - Broad spectrum antibiotics due to the complications
that could occur
Dobhoff Tube
- Correct Answer - A Dobhoff tube is a narrow-bore flexible tube with a
diameter of 4 mm, used to deliver enteral nutrition. It is used in patients
with a functional gastrointestinal tract, but who are unable to meet their
nutritional requirements through oral intake. Unlike nasogastric tubes,
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