Beruflich Dokumente
Kultur Dokumente
Resection
Natalie Brasch
Aramark Dietetic Intern, 2015-2016
Overview of Patient
Disease Description
Nutrition Care Process
Assessment
Diagnosis
Interventions
Monitoring and Evaluation
Conclusion
Image: http://www.andeal.org/files/Image/Figure%201.2%20NCP.jpg
Chronic constipation
Ulcers
Increased colonic pressure
Disease-related perforation:
Appendicitis, cancer, Crohns Disease, diverticulitis,
gallbladder disease, peptic ulcer disease, ulcerative colitis
Image: http://www.theseanbarkesclinic.co.uk/information-conditions/digestive-gastro-intestinal/diverticulitis/
Treatment
Neoplasty of colon
Mild-to-moderate cases
Surgical repair of the hole
Resection of punctured area
Outcome is based on
Severity
Length of time perforation is present before treatment
Complications
Infection
Medications:
Medication
Function
Rationale
Morphine
Narcotic, analgesic
Pain
Levothyroxine
Thyroid hormone
Insulin
Glycogen synthesis
Lasix
Loop diuretic
Fluid retention
Solu-Medrol
Steroid
Lovenox
Anticoagulant
Propofol
Sedative
Fentanyl
Narcotic
Pain
Protonix
Proton Pump
Inhibitor
Bowel sounds
Flatus
Bowel movement
NG drainage
recovery