Causes Of Preoperative Body Weight

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

The preoperative phase begins when the decision to have surgery is made. It is used to assess the patients suitability for surgery, identify potential risk factors, educate the patient on avoiding complications of surgery and anaesthesia, and plan to meet the patients needs for a safe and sustained recovery upon discharge (Berman, 2014, p. 1015). This process includes addressing all parameters on the preoperative checklist. Fasting is an important part in the preoperative phase. Preoperative fasting is the practice of a patient abstaining from oral food and fluid intake for a certain amount of time before a surgical procedure is performed. This is intended to prevent pulmonary aspiration of stomach contents during general anaesthesia. When

During the postoperative period (IPO), it is crucial for the medical team to assess the situation after the surgery, while he patient is still in the post-an aesthetic care unit (PACU), recovering from operation he or she underwent. The nurses should cover 8 major points of interest and patients reactions to these medical tests to ensure well being of the patient, as well monitor the situation after surgery, making their professional qualifications, knowledge and skills highly important. Each of these 8 points needs to be benchmarked against the standard procedures and measurements while taking into account the pre-surgical body behavior of the patient and shall be presented separately. Vital signs are checked by presence of the artificial

Cause and effect; why or why not weight loss surgery? Studies shows there are many cause and effect to each weight loss surgery. There are also different kinds of surgery one is the Gastric Bypass Surgery and the Gastric Sleeve Surgery. Gastric bypass surgery refers to a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both. The gastric sleeve however is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube-like structure. If surgery could eliminate obesity, then why is America still known as the most obese country in the world. Wouldn’t more and more people that are overweight have surgery?

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

There seem to be an increasing application of Roen-en-Y gastric bypass today by some surgeons. This is a restrictive procedure that has minimal mal-absorption issues and it makes part of an array of bariatric surgeries. However, the most commonly used procedure is biliopancreatic diversion or Scopinaro, which have been used for more than two decades and are popular in with many surgeons more so in the developing countries. This process is intended to inhibit absorption of fat in a bid to trigger massive weight loss in patients who are morbidly obese. It restricts gastric thereby diverting bile and pancreatic fluids to the distal ileum (Consensus Development Conference Panel, 1991). This procedure therefore exposes a limited area of small bowel for the absorption of nutrients that need biliary and pancreatic fluids. The procedure and its variations are still common as indicated above including; biliopancreatic diversion with duodenal switch, which also result in malabsorption. It is however noted that most patients who undergo this procedure also experience severe protein and fat related malabsorption problems.

The procedure was done emergently because of the patient’s critical condition. His right IJ area was prepped in the usual fashion. It was very difficult to visualize his right IJ vein, even though his habitus should have allowed us to do so, but the patient was, I believe, severely intravascularly volume depleted, and his vein was collapsing. I have attempted to access the right internal jugular vein multiple times, both under real-time ultrasound guidance and even later on blindly. I was able to get blood return and hit the vein; however, I was not able to advance the guidewire. I was able to advance it one time and put the catheter in, and it was nonfunctioning. I had to take the catheter out and tried multiple other times on the right IJ vein without success. That procedure was terminated. Pressure was applied. There was no cervical hematoma whatsoever. The patient was uncomfortable because of the length of the procedure but did well otherwise. Hemodynamically, he was unchanged, and his oxygen saturations remained stable.I prepped the IJ vein area in the usual fashion. One percent lidocaine was used for local anesthesia. Again, the left IJ vein was collapsing. With deep inspiration, the vein could be well visualized on the real-time and ultrasound guidance, after which I could get access to the left IJ vein. A wire was advanced without difficulty while the

In this paper I will be discussing preoperative fasting time for patients undergoing elective surgery with general anaesthesia. In clinical setting, nothing by mouth (NPO) after midnight is required on the day before scheduled surgery to prevent vomiting and aspiration of gastric content into the lungs. There are different preoperative fasting guidelines established by anaesthesiologist associations, for example the Canadian Anaesthesiologist’s Society (CAS) and American Society of Anaesthesiologists (ASA) (Tosun, B., Yava, A., & Açıkel, C. 2015). With these guidelines, fasting intervention is not just as simple as NPO after midnight. There was no evidence that showed shortened fast period increased patient’s risk for aspiration or

Introduction Gastric pull-up surgery is a procedure to remove part of the esophagus and to connect the remaining part to the stomach. You may have this procedure if there is a tumor on your esophagus (esophageal cancer) or if a part of your esophagus is injured, such due to a severe burn. Tell a health care provider about: All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines. Any allergies you have.

I stopped what I was doing to assess what was wrong. The patient’s abdominal dressing was soaked in fluid. I removed the dressing and noticed that in the middle of her incision site fluid was leaking and would not stop. I grabbed the gauze and applied pressure. After several soaked gauzes, I told the CNA to continue to apply slight pressure on that site and I went to get the

BPD): Early complications (30 days postoperatively): 1- Anastomotic leakage with peritonitis (0.5-9 average ), 2- Acute gastric dilatation, 3- Roux limb obstruction, 4- Wound infection (sever 4.4% minor 11.4),

CaseWorld scenario Elizabeth Green who is a 78-year-old female; Mrs Green had a stent successfully inserted into her left anterior descending artery (College of Nursing & Health Sciences 2014). The postoperative complication that can occur within eight hours that will be explored and discussed is a retroperitoneal haemorrhage. A retroperitoneal haemorrhage occurs due to blood leaking into the free space of the retroperitoneum, this type of haemorrhage can result in serious complications

Both surgeries require a lifestyle change , with Lap Band you can eat whatever you would like if you choose, but you need to chew your food thoroughly and eat slowly. If one is not careful and over eats they will experience immense pain as there is too much food trying to fit past their band at once. Although not pleasant this can often be relieved by inducing vomiting. A Gastric patient needs to adhere to all the same precautions but if over eating occurs a very different effect happens which occurs in the form of “Dumping syndrome”. The patient becomes violently ill for up to several hours and there is nothing that can be done except to let it pass. The Gastric patient will also need to take many liquid forms of vitamins for their lifetime due to the fact that the stomach is now too small to absorb some

Patient education is imperative, deeming this elective surgery, in order to prevent future harm related to chronic diseases such as Diabetes and Hypertension developed, as a result of Morbid Obesity.