Flashcards in exam 2 chapter 22 Deck (70)
what is the most common type of esophageal diverticula found most frequently in men than in women?
clinical manifestations by patients with phargngoesophageal pulsion diverticulum
fullness in the neck
regurgitation of undigested food
gurgling noise after eating
halitosis and sour test in the mouth
True or false? Esophagoscopy contraindicated in patient with esophageal diverticula.
because of the danger of perforation of the diverticulum
Blind insertion of NG tube should be avoided.
after a removal of esophageal diverticula (diverticulectomy) what should the nurse monitor for
observed for evidence of leakage from the esophagus
withhold food and fluids until radiographic studies indicate there is no leakage at the surgical site.
diet begins with liquids and progressed as tolerated.
post op care for esophagectomy
Place patient in a low fowlers position and later in fowlers.
monitor for regurgitation and dyspnea.
monitor for aspiration and pneumonia
Use of IS, sitting in a chair
drainage from cervical neck wound (saliva) evidence of leak
DO NOT MANIPULATE NG TUBE!!
what is an excellent marker for malnutrition
it has a shorter half life (2 days)
does not influence fluid balance
normal level 19 to 38 mg/dL
should be checked before tube placement
what should be done before placement of NG when patient has head trauma
Evaluated for basilar skull fracture
a pulse pressure of less than 30 mm Hg is indicative of what
fluid volume deficit (FVD)
True or False? Hemoccult test for stool can be used for evaluation of gastric drainage