Answered: 4.What digestive and absorptive issues…

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4.What digestive and absorptive issues are likely to arise in subtotal gastrectomy patients? please write more and more

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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135. A patient with colorectal cancer has a new colostomy and a nursing diagnosis of Deficient Knowledge. Which outcome would be a priority for this patient? The patient will:Watch the RN to change the ostomy appliance.Demonstrate techniques of ostomy care.Ask the family member to change the ostomy appliance.Look at the stoma.
An overweight 45-year-old female patient is seen by the primary care physician. She complains of a severe colicky pain in her right upper quadrant about 2 hours after meals but is otherwise healthy. After a history and physical, the physician diagnosis the patient with cholelithiasis.1. Describe the condition and causes of cholelithiasis.2. What are three possible treatments for this condition?3. How would a patient’s diet affect this condition
Paralytic ileus is a possible postoperative complication. To check for it, which of the following should be done? a. Administer antibiotics b. Observe and monitor patient heart rate c. Monitor renal function d. Auscultate for bowel sounds every 4 hours
3. PERNICIOUS ANEMIA Results from Deficiency of vitamin B12 due to autoimmune destruction of the parietal cells, lack of INTRINSIC FACTOR or total removal of the stomach O a. True O b. False
Label the illustrations below by choosing from the given set of choices.
15. A 40-year-old woman with a history of constipation and anal fissures has generalized pain and tenderness on the left side of the anus that increases with defecation. Ona mperatures 38.3°C (101"F), Digital rectal examination discloses a large tender mass on the left wall of the anal canal and no apparent varcosities. The mest key dagross is an abrass wc dita following locations? so A) Ischiorectal fossa 8) Rectouterine pouch (of Douglas) C) Superficial perineal space OD) Vesicouterine pouch
PLEASE QUICKLY AND AS SOON AS YOU CAN !
A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 What does the AST/ALT ratio indicate for this patient What if your AST/ALT ratio were >1. What would that suggest?
Case ScenarioThe patient is a 54-year-old Caucasian male with ulcerative colitis who underwent a totalproctocolectomy with end ileostomy in 1997. He developed a parastomal hernia that was becomingincreasingly symptomatic. Following a discussion with the patient regarding the risks and benefits of parastomal hernia repair, he underwent an exploratory laparotomy with enterolysis, parastomal herniarepair and re-siting of the ileostomy. The hernia defect was repaired primarily with a biologic meshunderlay (Alloderm, Lifecell®). He received one preoperative dose of cefoxitin; consistent withpreoperative antibiotic guidelines. The operation was uneventful. His postoperative course wasuncomplicated; on postoperative day 4 he was tolerating a regular diet and had normal ileostomy output.He was subsequently discharged home.Twenty-four hours later, he returned to the hospital emergency department with complaints ofabdominal pain and feculent vomiting. Vital signs on arrival were notable for a…
Indrani Singh is a 52 yo woman who has been admitted to the emergency department. For the last couple of days, she has been vomiting small amounts, and has had abdominal pain that has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis. Collect cues Vital signs: RR: 14 bpm SpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg) HR: 118 bpm Temp: 37 oC Pain assessment: P = upon movement and at rest Q = aching with occasional stabbing pain R = peri umbilical (central abdomen) S=8/10 T = Constant for last 48 hours Abdominal assessment: Inspection – distension, midline scar Auscultation – absent bowel sounds Palpation – general tenderness and guarding Percussion – gas-induced tympany Fluid status assessment: Weak pulses Pale and cool…
Case ScenarioThe patient is a 54-year-old Caucasian male with ulcerative colitis who underwent a totalproctocolectomy with end ileostomy in 1997. He developed a parastomal hernia that was becomingincreasingly symptomatic. Following a discussion with the patient regarding the risks and benefits of parastomal hernia repair, he underwent an exploratory laparotomy with enterolysis, parastomal herniarepair and re-siting of the ileostomy. The hernia defect was repaired primarily with a biologic meshunderlay (Alloderm, Lifecell®). He received one preoperative dose of cefoxitin; consistent withpreoperative antibiotic guidelines. The operation was uneventful. His postoperative course wasuncomplicated; on postoperative day 4 he was tolerating a regular diet and had normal ileostomy output.He was subsequently discharged home.Twenty-four hours later, he returned to the hospital emergency department with complaints ofabdominal pain and feculent vomiting. Vital signs on arrival were notable for a…