Question

Gastrointestinal Structural and Inflammatory Disorders: Planning Postoperative Care for Meckel Diverticulum ( please fill every box!!! including safety considerations!!!)

ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care

Answer 1

Meckel Diverticulam is a slight bulge in the small intestine, usually it is congenital and diagnosed before two years of age

Diagnosis :

• Technetium-99 Pertechnetech scan
• Complaint of nausea,vomiting, abdominal pain
• Malena
• Rectal bleeding which is unexplained

Pathophysiology

When conception occurs the yolk sack are first formed in the gestational sac.The foetal midget receives nutrition from the mother via omphalomesentric duct also called as vitelline duct.As the pregnancy continue this duct narrows and disappears in 7 weeks of gestation. When this does not happen it leads to vitelline duct problems one such is the Meckel Diverticulam

Risk factors

• male
• Chron's disesase
• Inflammatory bowel disease
• Omphalocele
• Congenital
• Esophageal atresia
• Malformation of rectal opening

Expected finding

• Navel tenderness
• Abdominal pain
• Abnormal bowel movement
• Presence of blood in stool

Laboratory test

• Technitium scan
• Increased WBC and decreased haemoglobin
• Ultrasonograph
• Plain abdominal radiography
• CT scan

Diagnostic procedure

• Double balloon enteroscopy
• Capsule endoscopy
• Laparoscopy

Therapeutic procedure

A lapratomh or surgical removal of it is done

Medication

• Analgesics for pain management
• Anti emetic yo cease nausea and vomiting
• Antibiotic after surgery

Safety consideration

To be careful on who the procedure is done and the way of preventing it in future with complications

Nursing care

• Administration of medication as per order
• Assess for bowel movement
• Monitoring any side effects or complications
• Providing comfort devises to manage pain

Client education

• Follow fibre rich diet,bland diet
• Take medication on time
• Report any side effects
• Long time monitoring

Health promotion and disease prevention

• Health educate
• Proper follow up
• Report any change in mpbowel movements
• Avoiding anything which can harm a conception during the stage of organogenesis.

Inter professional care

A team of surgical professional, medical professional, paramedic professional, laboratory team with nursing aide are involved in the care

Complication

• Bleeding
• Infection
• Wound dehiscence