Case Study (Page 53) Surgical technologists should establish the physical characteristics of AIDS patients. Most of the body systems are affected by AIDS hence a comprehensive approach of care should be taken to address all concerns. There should be enough personnel to move the patient around the operating room and the gurney. Placement of ESU grounding pad should be done with some special considerations at hand.…
In this type of surgery, the risks that can occur include: excessive bleeding during the surgery that requires a blood transfusion, infection of the surgical site or of the bladder, possible damage to any surrounding organs (bladder, bowel, and ureters), and may cause the surgeon to need to do further surgery (Emory University School of Medicine, 2017). During the virtual simulation, a major complication occurred when the patient was given too much morphine, resulting in an overdose. This can be complication that can occur in postoperative period. Some of the side effects that a patient who is undergoing this type of surgery may include: injury to nearby organs, blood clots (legs or lungs), hemorrhaging (heavy bleeding in some patients), pain during sexual intercourse, losing the desire to have sex (some may be have the opposite effect of having it improve their sex life), vaginal dryness, weight gain, urinary incontinence or leakage (from an inadvertently created fistula during the surgery), and some may develop urinary stress incontinence as well (Practo, 2018). Being aware of complications is an important aspect/skill that nurses need to be aware of or develop before working in the field.…
The reasons why people having surgery is a high-risk is they have likely had health problems before this. In surgery they have you on ten or more different medications, any of these could cause drug-drug interactions. So, their immune system is down and the best place to catch illnesses in the hospital or doctor’s office.…
• What are the possible complications of having the operation? • What is the doctor's experience in doing this procedure? • What can I expect during recovery? • Should I get a second opinion? • Is there any possibility of any complications?…
The disease that I choose was “Gallstones”. What are Gallstones?It’s a small,hard crystalline mass formed abnormally in the gallbladder or bile dics from bile pigments,cholesterol,and calcium salts. Gallstones can cause severe pain and blockage of the bile duct. More than one million americans are diagnosed with gallstones (Choleithiasic) every year,More than 25 million already have this disorder.…
After gaining consent from Lewis perform a head to toe assessment paying extra attention to the surgical site, stoma and drains, any discolouration could be a sign of internal bleeding. Look for signs of peripheral odema such as swollen limbs or leaking. Assess Lewis's breathing as he is still on 6L O2 via hudson mask. Review Lewis’s progress notes for instructions or orders from the medical team. Compare post-operative results to current results; fluid balance chart, observations, analgesia, bowel chart.…
Laparoscopic Nissen Fundoplication Laparoscopic Nissen fundoplication is surgery to relieve heartburn and other problems caused by gastric fluids flowing up into your esophagus. The esophagus is the tube that carries food and liquid from your throat to your stomach. Normally, the muscle that sits between your stomach and your esophagus (lower esophageal sphincter or LES) keeps stomach fluids in your stomach. In some people, the LES does not work properly, and stomach fluids flow up into the esophagus.…
INTRODUCTION Postoperative ileus (POI) is perceived as an unavoidable outcome of major abdominal surgery, primarily because of poorly understood multifactorial pathophysiology. Postoperative ileus (POI) is a condition that is clinically characterized by a transient interruption of gut function following surgeries. Ileus develops due to impaired motility of the gastrointestinal tract in the absence of any mechanical bowel obstruction. There is a disturbance in the coordinated propulsive action leading to accumulation of gas and fluid mainly in the small bowel lumen. It is clinically manifested by nausea, vomiting, abdominal distension and diet intolerance.…
• Whether you are pregnant or may be pregnant. RISKS AND COMPLICATIONS Generally, this is a safe procedure. However, problems may occur, including: • Infection. • Bleeding and blood clots. • Allergic reactions to medicines.…
American Urological Association Endourological Society Guideline Statement 2016 recommends Ureteroscopy as first line therapy in patients with mid or distal ureteral stones who require intervention (who were not candidates for or who failed Medical Expulsive Therapy) with Evidence Level Grade B.1 European Association of Urology Guideline 2016 also recommends Ureteroscopy over Shock Wave Lithotripsy for ureteral stones if indicated for active stone removal - Recommendation Grade A.2 Semirigid ureteroscopes remain the most commonly used type of scope for access to the upper urinary tract.3 Stents should be inserted in patients who are at increased risk of complications (e.g., ureteral trauma, residual fragments, bleeding, perforation, Urinary Tract…
Cholelithiasis Cholelithiasis or gallstones is the most common type of gallbladder disease that affects millions of people. Gallstones form in the gallbladder when biliary cholesterol increases. If a stone obstructs the cycstic duct, a patient may experience a sharp and severe pain because of the increased pressure in the gallbladder. Patients don’t know they have the disease because they are asymptomatic. The diagnostic techiniques used nowadays are less invasive and allows patients to heal faster.…
Through the provided case scenario, there are a few key concepts that stand out in relation to overall health (pathophysiological, psychological, and psychosocial). These key concepts include: Mr. R a male, 58 years of age, colon cancer diagnosis, traumatic surgery, and results of a temporary colostomy. We as nurses need to see the relations between these key aspects, and life events. Not only has the pathophysiological aspects of cancer in the colon (which leaves an increased risk of future cancers) and the surgery to correct the cancer, he also has psychological and psychosocial problems associated with the scenario. Sometimes healthcare professions may overlook the other two aspects and primary focus on the physical aspects.…
Living with a colostomy bag It might take some time to become used to the fact that you have an opening in the side of your abdomen which is now basically the way from which stool from your intestine will exit the body. An ostomy is a procedure where surgeons create an opening in your abdominal wall and attach part of your intestine (ileum or colon) to it. It has been estimated that around 100,0001 new ostomy procedures are performed every year in the US. Colostomy is usually performed in cases of intestinal obstruction, inflammatory bowel disease, Abscess, colorectal carcinoma etc. Living with a colostomy bag might be difficult to adjust at first but it is not a debilitating condition.…
c. Anemia /blood loss during the procedure: Anemia is compounded by blood lost during hemodialysis (Smeltzer et. al., 2010, p. 1335). d. Gastric ulcers: May result from physiologic stress of chronic illness, medication and preexisting medical condition (Smeltzer et. al., 2010,…
This would also include attempting to reduce any activity that induced pain such as “coughing or ambulation” (Huether & McCrance, 2017). They might also give the patient an ice pack to place on the abdomen to relieve some of the pain. The nurse might also administer any pain medications that can be given before the patient’s procedure however, it is important that no cathartics are administered at this time because it has the potential to rupture the appendix (Huether & McCrance, 2017). In order to prevent infection, the nurse might closely monitor the severity of the pain and if it becomes increasingly worse. The nurse would also give any antibiotics ordered before the procedure as well as prepare the…