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NCP | Nursing Care Plan Liver Cirrhosis
To remedy bleeding of esophageal varices, a Sengstaken-Blakemore tube can be placed. In cases of irreversible chronic liver disease, liver transplantation is an option; however, there are selection criteria. ...
Gastrointestinal Diseases NCLEX Review Questions Part 1 | NCLEX ...
A nurse is preparing to care for a female client with esophageal varices who has just has a Sengstaken-Blakemore tube inserted. The nurse gathers supplies, knowing that which of the following items must be kept at the bedside at all ...
bilateral acute parotitis following insertion of a sengstaken ...
bilateral acute parotitis following insertion of a sengstaken-blakemore tube. endoscopy. 2009 jul;41(s 02):e206. authors: tekin f, ozutemiz o, bicak s, oruc n, ilter t. pmid: 19637131 [pubmed - as supplied by publisher]
Thoracic Surgery For Non-Neoplastic Disease. Tuberculosis
TUBERCULOSIS
1. What are the clinical manifestations of pulmonary tuberculosis?
Show answer
They can be almost anything or nothing (it has been stated that if you know tuberculosis, you know all of medicine), but the most common symptoms and signs are chronic fever; weight loss; night sweats; and cough, sometimes with hemoptysis. Chest radiograph typically shows upper lobe infiltrates, with or without cavitation, and can be misdiagnosed as a neoplastic process. HIV-positive or immunocompromised patients usually have mediastinal adenopathy, pleural effusions, and a miliary pattern.
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mdr tb surgery, mdrtb surgical, whats neoplastic surgery,Queries 5
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euro-ion in dextrose 5% water, mss,Queries 3
Queries 4
UPPER GASTROINTESTINAL BLEEDING
51 UPPER GASTROINTESTINAL BLEEDING
G. Edward Kimm Jr. M.D., Allen T. Belshaw M.D.
1. What is upper gastrointestinal (GI) bleeding?
Show answer
Bleeding from proximal to the ligament of Treitz (the transition point between duodenum and jejunum).
2. What are the most common causes of upper GI bleeding?
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In descending order of frequency, they are gastritis, duodenal ulcer, esophageal varices, benign gastric ulcer, esophagitis, and Mallory-Weiss tear. All other causes account for < 5% of cases.
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can a upper gi miss a duodenal ulcer, esophageal gastroduodenotomy with esophageal banding,Portal Hypertension & Esophageal Varices
42 PORTAL HYPERTENSION AND ESOPHAGEAL VARICES
Ramin Jamshidi B.S., B.S., Gregory V. Stiegmann M.D.
1. Describe the blood supply to the liver.
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Total hepatic blood flow is roughly 1500 mL/min, or 25% of cardiac output. The hepatic artery normally supplies about 30% of blood flow, and the portal vein contributes 70%. The hepatic artery and portal vein each supply 50% of the liver’s oxygen, however. With portal hypertension, portal flow decreases and the relative contribution of the hepatic artery necessarily increases.
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Thoracic Surgery For Non-Neoplastic Disease. Pleural Effusion
PLEURAL EFFUSION
6. What is a pleural effusion?
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Pleural fluid is generated in normal adults at a rate of 5-10 L per 24 hours in the combined hemithoraces, but normal adults have only 20 mL of pleural fluid present at any time. Pleural effusions develop when there is either increased production or decreased resorption. Pathologic conditions leading to effusions include increased capillary permeability (inflammation, tumor), increased hydrostatic pressure (e.g., in congestive heart failure [CHF]), decreased lymphatic drainage (tumor, radiation fibrosis), decreased oncotic pressure (hypoalbuminemia), or combinations of these.
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triglycerides in fluid query chylothorax,Nutritional Assessment & Enteral Nutrition. Enteral Nutrition
ENTERAL NUTRITION
10. When should enteral nutrition be considered?
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Always, but especially when a patient is unlikely to meet > 70% of nutritional needs by mouth. Patients who have sustained major head injury (Glasgow Coma Scale score < 8), major torso trauma, major trauma to the pelvis and long bones, or major chest trauma benefit from enteral nutrition. Approximately 85% of postoperative patients (even those undergoing gastrointestinal [GI] surgery) tolerate early enteral feeding (within 24 hours).
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Thoracic Surgery For Non-Neoplastic Disease. Empyema
EMPYEMA
10. What is an empyema, and what causes it?
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An empyema is a purulent (infected) effusion. Fluid or blood in the pleural space can be directly innoculated (with bugs) during surgery or trauma (33%) or by contamination from contiguous sites (50%) such as bronchopulmonary infection (most common). Most empyemas are parapneumonic, and the most commonly involved organisms are Staphylococcus aureus, enteric gram-negative bacilli, and anaerobes. Many times, infections are polymicrobial. Often there is no growth of an empyema culture because of effective antibiotic therapy or inadequate culture techniques, particularly with anaerobes.
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Oxygen Monitoring & Assessment. Extra Credit Questions
EXTRA-CREDIT QUESTIONS
22. Four hours after your patient undergoes an exploratory laparotomy following a motor vehicle accident, the nurse reports that the patient’s vital signs, urine output, and oxygen transport numbers are normal. Can the patient still be in trouble?
Penetrating Thoracic Trauma
22 PENETRATING THORACIC TRAUMA
Jeffrey L. Johnson M.D., Ernest E. Moore M.D.
1. How often do patients with penetrating chest wounds need an operation?
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Surprisingly rarely. Most civilian penetrating injuries are from knives and low-energy handguns. Consequently, although injuries to the chest wall and lung are common, the majority of patients can be treated with tube thoracostomy alone. Formal thoracotomy or median sternotomy is required in < 15% of isolated penetrating chest injuries.
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www answers com trauma diaphragm,Appendicitis
37 APPENDICITIS
Alden H. Harken M.D.
1. What is the classic presentation of acute appendicitis?
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Periumbilical pain that migrates to the right lower quadrant (RLQ) in a patient who is anorexic.
2. Where is McBurney’s point?
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One third the distance between the anterosuperior iliac spine and the umbilicus.
3. What is McBurney’s point?
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The point of maximal tenderness in acute appendicitis.
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appendicitis vs crohns, appendicitis with toa, mcburney boston cop, rockey davis incision, rocky-davis incision who named it, toa vs appendicitis, transverse incision name in appendectomy,Oxygen Monitoring & Assessment
11 OXYGEN MONITORING AND ASSESSMENT
James B. Haenel R.R.T., Jeffrey L. Johnson M.D.
1. How does a pulse oximeter work?
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Light-absorption characteristics differ for the four most common circulating species of hemoglobin in adults:
1. Reduced hemoglobin (RHb)
2. Oxygenated hemoglobin (O2Hb)
3. Methemoglobin (Met Hb)
4. Carboxyhemoglobin (CO Hb)
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Congenital Diaphragmatic Hernia
86 CONGENITAL DIAPHRAGMATIC HERNIA
Denis D. Bensard M.D., Richard J. Hendrickson M.D.
1. What is the most common type of congenital diaphragmatic hernia (CDH)?
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Congenital abnormalities of the diaphragm include a posterolateral defect (Bochdalek hernia), an anteromedial defect (Morgagni hernia), or the eventration (central weakening) of the diaphragm. The Bochdalek hernia is the most common variant and generally occurs on the left (80%). Approximately 20% occur on the right, and < 1% are bilateral.
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Abernathy’s Surgical Secrets, Updated Edition (Book w / Student Consult)
Author / s: Harken Alden H., Abernathy Charles, Moore Ernest Eugene
Year: 2004
Pages: 473
Publishers: Elsevier Mosby; 5th Bk & Acc edition
ISBN: 0323034160
