You are caring for J.B., a 56-year-old woman with colon cancer. PHM includes colon resection followed by combined chemotherapy approximately 18 months ago; recently diagnosed with recurrence of colon cancer, chemotherapy was administered for five of the eight schedules cycles; previous significant weight loss(current height , 67”; weight, 105 pounds); 5-packed-year ( 2 PPD x 25 yrs) smoking his. J.B., is admitted acute N/V and dehydration. She is nutritionally depilated. Her physician determines that diagnostic evaluation requires exploratory laparotomy. VS 150/90, 124, 26, 100 degree F.
The surgeon will place multiple drains after major
gastrointestinal surgery to prevent intraabdominal complications.
These drains to allow the fluid to flow in the drain. Fluid
accumulation inside the peritoneal cavity and surgical site may
cause infection, inflammation and other complications like seroma.
so drains help to remove the fluids that accumulate inside the
surgical site.
If the dressing site too wet immediate after surgery it causes
infection, it delays the healing process and leads to further
complications. Traditional abdomen surgery is known as laparotomy.
traditional care is important to avoid surgical complications after
surgery.
Everything looks good in the surgical site, it shows the process of
healing, edematous in the surgical line will reduce after some days
once wound started healing. JP drains continue to drains for 1 to 5
weeks.
You are caring for J.B., a 56-year-old woman with colon cancer. PHM includes colon resection followed...
You are caring for J.B., a 56-year-old woman with colon cancer. PHM includes colon resection followed by combined chemotherapy approximately 18 months ago; recently diagnosed with recurrence of colon cancer, chemotherapy was administered for five of the eight schedules cycles; previous significant weight loss(current height , 67”; weight, 105 pounds); 5-packed-year ( 2 PPD x 25 yrs) smoking his. J.B., is admitted acute N/V and dehydration. She is nutritionally depilated. Her physician determines that diagnostic evaluation requires exploratory laparotomy. VS...
Mary, a 25-year-old female, arrives in the postoperative phase. Mary’s mother died of colon cancer, and Mary had a colonoscopy that revealed three precancerous polyps and one malignant polyp. Mary had a partial colectomy to remove the malignant section of her colon. The physician placed a closed drain system in Mary’s abdominal incision. The abdominal drain has 20 mL of blood-tinged drainage. The drain was injected with epinephrine, a local anesthetic. Mary has a urinary catheter in place that is...
Ms. Huang is a 72- year- old Asian female who was admitted for an exploratory laparotomy. She underwent surgery and was found to have a perforated bowel secondary to a ruptured appendix. She currently is receiving chemotherapy for severe rheumatoid arthritis. Ms. Huang is POD (post-op day) #2 and the AM assessment reveals the following: B/P 144/86, P 92, R 26, T 38 C. The client has an N/G to 20 cm. suction, foley catheter, O2 at 3 l/min via...
Susan Lee is a 60 year old female admitted to the medical surgical floor complaining of abdominal pain on and off for 4 months. Her complaints were constipation, bloating, abdominal pain and indigestion. Her CT scan diagnosed an abdominal mass. Susan’s past medical history includes COPD, Diabetes type 1, and vascular issues. Her medications include the following: Prednisone 10 mg daily Insulin glargine (lantus) 20 units at bedtime ASA 81 mg daily. Her assessment includes the following: Objective: Height :...