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  • Enterocutaneous Fistula

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    Nur Farhana
    228 Ansichten1 Seite
    Major morbidity and mortality comes from sepsis and malnutrition. Patient with fistula has: Prolonged hospital stay Pain Malaise Risk of further surgery Psychological morbidity Requirement: - Stable metabolic state - sepsis controlled - nutrition establish - anatomy and etiology classified

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    Major morbidity and mortality comes from sepsis and malnutrition. Patient with fistula has: Prolonged hospital stay Pain Malaise Risk of further surgery Psychological morbidity Requirement: - Stable metabolic state - sepsis controlled - nutrition establish - anatomy and etiology classified

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    228 Ansichten1 Seite

    Enterocutaneous Fistula

    Hochgeladen von

    Nur Farhana
    Major morbidity and mortality comes from sepsis and malnutrition. Patient with fistula has: Prolonged hospital stay Pain Malaise Risk of further surgery Psychological morbidity Requirement: - Stable metabolic state - sepsis controlled - nutrition establish - anatomy and etiology classified

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Als PDF, TXT herunterladen oder online auf Scribd lesen
    Markieren Sie unangemessene Inhalte
    von 1

    RESUSCITATION

    (major morbidity and mortality RESTITUTION


    comes from sepsis and 1)Skin care
    •Controlled fistula losses by stoma appliances/
    malnutrition) suction catheter/ adhesive paste dressings
    •If not possible- defunctioning loop stoma

    1) Fluid and electrolytes therapy


    Rehydrate patient- replace fluid loss 2) Nutritional Support
    Charting IO Preferably enteral nutrition
    Monitoring electrolytes and correct TPN if hypercatabolic state
    Correct acid base balance Nutrition assesment by expert dietitian
    Determine fistula output
    3) Delineating fistula anatomy
    2) Management of Sepsis By radiological contrast study
    Look for signs/symptoms
    Antibiotics treatment 4) Plan for definitive
    surgery
    3)Surgical drainage
    For abscess collection

    RECONSTRUCTION
    REHABILITATION Requirement:
    - Stable metabolic state
    Patient with fistula has: - Sepsis controlled
    •Prolonged hospital stay - Nutrition establish
    •Pain - Anatomy/aetiology
    •Malaise classified
    •Risk of further surgery
    •Psychological morbidity
    •Deferred surgery until both
    local and systemic condition
    We have to provide
    •Good rapport with patient and family
    optimized
    •Sympathetic medical and nursing staff
    •Psychological care/refereal •Precise details of surgical
    •Physiotherapy/occupational therapy procedures vary depending
    upon anatomy and etiology of
    fistula

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