Question

Nursing careplan for a Pt having gastric bypass surgery with two pre-op and two post-op medications.

Answer 1

NURSING CARE PLAN FOR GASTRIC BYPASS SURGERY :

ASSESSMENT	DIAGNOSIS	GOAL	PLANNING	EXPECTED OUTCOMES
Assess for pain	Acute pain related to trauma	To reduce or relieve pain	1. Record vital signs 2.Make patient in a comfortable position 3. Assess pain using using pain integrity scale	Pain may be reduced
Assess for nutritional status	Imbalanced nutrition more than body requirements	To maintain normal nutrition pattern	1. Assess vital signs 2. Assist patient to walk 3. Check patients weight regularly	Weight may be reduced
Assess for presence of infection	Risk for infection related to invasive procedures	To reduce the infection	1. Assess vital signs 2. Assess for signs of infection 3. Educate patient to maintain good personal hygiene 4. Provide sterile dressing for wound	Infection may be reduced
Assess for impaired comfort of patient	Impaired comfort related to decreased peristaltic movements	To improve comfort level of patient	1. Provide comfortable position 2. Assess for abdominal circumference 3. Provide comfort devices 4. Assess vital signs	Discomfort may be reduced

The above discussed are some of the nursing care plans for patients with gastric bypass surgery.

PREOPERATIVE MEDICATIONS : Anti hypertensives and Insulin doses to be taken on the day of surgery consulting the physician.

POSTOPERATIVE MEDICATIONS :

NSAIDS - Ibuprofen, aspirin

ANTIBIOTICS - Azithromycin