GI surgeries
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Dumping syndrome
- Occurs shortly after eating (15-30 minutes): generalized weakness,
palpitations, dizziness, flushing, abdominal cramps, Borborygmi, urge to
defecate/diarrhea, diaphoresis, N/V
- Treatment
• Decrease meal size (eat more frequently); eat slowly
• Drink no more than 4 ounces fluid with meals
• Dry foods with low carb content & moderate CHON & fat and Low fiber
• 30-60 minute recumbent/semi-recumbent position after meals
Trying to delay time that food passes.
Treatment
Anticholinergic, antispasmodics, sedatives
,C diff manifestations
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Diarrhea several times a day
Very odiferous!
Complications: fulminant colitis;
intestinal perforation
**Assess for fever and signs of dehydration,
Assess abdomen, perineum
Fulminant colitis
Diarrhea more than 10 times a day
Severe cramping
Nausea
Blood in stool
Loss of appetite/weight loss
Rapid heart rate, sign of dehydration
Can progress to toxic megacolon or perforation
pancreatic cancer
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Definition/Pathophysiology
Cancer involving the head, body or tail of pancreas
Head of pancreas is most common site (75%)
Risk Factors
Smoking #1 factor
Age
Exposure to chemicals & environmental toxins - Exposure to
benzidine = high incidence
, High-fat diet (esp. high meat diet); obesity
Chronic pancreatitis
Alcohol abuse
Diabetes mellitus
Cirrhosis
Genetics/ family history
Otosclerosis
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• chronic progressive deafness caused by the formation of spongy bone,
especially around the oval window. Tinnitus and deafness.
• Most common in Caucasian females ages 15 to 35. Inherited disorder.
• Avoid pressurized situations in the ears
• Do not blow your nose for 1 week after surgery
• Avoid people with respiratory or other infections
• Protect the ears against cold
• Avoid coughing, bending, lifting, or straining, which may cause dizziness &
increase inner ear pressure
• Avoid loud noises or sudden pressure changes such as scuba diving,
flying, or driving in the mountains for 6 months or until healed
• Hearing aid/amplification
Clostridium difficilePathophysiology
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, Most common cause of hospital related GI illness
C. diff bacteria actually exists all around us. It's in the air,
water, soil, and in the feces of humans and animals. Many
people have the bacteria in their intestines and never have
any symptoms. The issue is when the person becomes
immunocompromised or when the bacteria infects an area
that isn't normally exposed to the bacteria. Can become
infected if you touch clothing, sheets, or other surfaces that
have come in contact with feces and then touch your mouth
or nose.
The bacteria is often spread in health care facilities, like
hospitals or nursing homes, where workers are more likely
to come into contact with it, and then with patients or
residents. Older adults in health care facilities are most at
risk, especially if they're taking antibiotics that kills the
healthy bacteria, allowing C. diff to grow unchecked.
This is the most serious antibiotic associated diarrhea. It's
common to have mild diarrhea when starting an antibiotic.
However, if diarrhea is occurring three or more times a day
and symptoms last for at least 2 days, need to see a doctor
as C-diff could be the cause.
Pancreatic Cancer Treatment
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Give this one a try later!
Dumping syndrome
- Occurs shortly after eating (15-30 minutes): generalized weakness,
palpitations, dizziness, flushing, abdominal cramps, Borborygmi, urge to
defecate/diarrhea, diaphoresis, N/V
- Treatment
• Decrease meal size (eat more frequently); eat slowly
• Drink no more than 4 ounces fluid with meals
• Dry foods with low carb content & moderate CHON & fat and Low fiber
• 30-60 minute recumbent/semi-recumbent position after meals
Trying to delay time that food passes.
Treatment
Anticholinergic, antispasmodics, sedatives
,C diff manifestations
Give this one a try later!
Diarrhea several times a day
Very odiferous!
Complications: fulminant colitis;
intestinal perforation
**Assess for fever and signs of dehydration,
Assess abdomen, perineum
Fulminant colitis
Diarrhea more than 10 times a day
Severe cramping
Nausea
Blood in stool
Loss of appetite/weight loss
Rapid heart rate, sign of dehydration
Can progress to toxic megacolon or perforation
pancreatic cancer
Give this one a try later!
Definition/Pathophysiology
Cancer involving the head, body or tail of pancreas
Head of pancreas is most common site (75%)
Risk Factors
Smoking #1 factor
Age
Exposure to chemicals & environmental toxins - Exposure to
benzidine = high incidence
, High-fat diet (esp. high meat diet); obesity
Chronic pancreatitis
Alcohol abuse
Diabetes mellitus
Cirrhosis
Genetics/ family history
Otosclerosis
Give this one a try later!
• chronic progressive deafness caused by the formation of spongy bone,
especially around the oval window. Tinnitus and deafness.
• Most common in Caucasian females ages 15 to 35. Inherited disorder.
• Avoid pressurized situations in the ears
• Do not blow your nose for 1 week after surgery
• Avoid people with respiratory or other infections
• Protect the ears against cold
• Avoid coughing, bending, lifting, or straining, which may cause dizziness &
increase inner ear pressure
• Avoid loud noises or sudden pressure changes such as scuba diving,
flying, or driving in the mountains for 6 months or until healed
• Hearing aid/amplification
Clostridium difficilePathophysiology
Give this one a try later!
, Most common cause of hospital related GI illness
C. diff bacteria actually exists all around us. It's in the air,
water, soil, and in the feces of humans and animals. Many
people have the bacteria in their intestines and never have
any symptoms. The issue is when the person becomes
immunocompromised or when the bacteria infects an area
that isn't normally exposed to the bacteria. Can become
infected if you touch clothing, sheets, or other surfaces that
have come in contact with feces and then touch your mouth
or nose.
The bacteria is often spread in health care facilities, like
hospitals or nursing homes, where workers are more likely
to come into contact with it, and then with patients or
residents. Older adults in health care facilities are most at
risk, especially if they're taking antibiotics that kills the
healthy bacteria, allowing C. diff to grow unchecked.
This is the most serious antibiotic associated diarrhea. It's
common to have mild diarrhea when starting an antibiotic.
However, if diarrhea is occurring three or more times a day
and symptoms last for at least 2 days, need to see a doctor
as C-diff could be the cause.
Pancreatic Cancer Treatment
Give this one a try later!
