Question

Ile You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley catheter, NG tube to low wall suction, and a Jackson-Pratt drain List the lab tests that you expect to monitor for this patient, and explain why. - 2. 2. List several nursing interventions for a patient who has an NG tube inserted 3. 3 You are caring for a postoperative patient with an NG tube that has drained 1000 ml in the past shift List some possible nursing diagnoses related to this amount of output

Answer 1

1, Serum electrolyte as a routine investigation for all post-operative patient to konw the electrolyte level, it help to replace the magnesium, potassium, phosphate, and sodium after the surgery.
CBC test to find any anemia and infection, platelet count it helps for blood clotting.
Liver function test to evaluate liver enzymes and bilirubin level
Coagulation studies can determine the blood clots, because there may be a chance of high bleeding and cloting too quickly, it can increase the risk of blood clot after surgery.
Procalcitonin for find the sepsis.
CRP to find the inflammatory condition and complication
2,-Perform hand hygiene when handling NG tube
-Monitor the patient feeding tolerance
-Assess the abdomen by auscultation for bowel sounds and movement and palpate the abdomen for tenderness and distenstion
-Make the patient head end elevated before feeding
-check the tube placement before each feeding by aspiration gastric content. it should not exceed more than 200ml, it indicates dysfunction bowel function.
-flush the tube before and after each feeding
-Slowly push the syringe for feeding
-close the tube after each feeding to avoid air enter inside the tube
-Don't make the patient lie down immediately after the feeding
-check the patient tolerance by watching nausea, vomiting, abdomen tolerance, etc.
-Record patient tolerance and any abnormality
3, Feeding rates should be reduced if the gastric residual is more than 200ml.
Nursing diagnosis:
-chronic pain(due to high residual)
-Imbalanced nutrition: less than body requirement(due to intolerance there is less absorption)
-Dehydration
-Risk for aspiration due to high gastric residual