Alterations of GI System. Nur 302 Unit I. Carcinoma of Oral Cavity. Predisposing factors: tobacco & alcohol S/S: leukoplakia, erythroplakia, ulcer, sore or rough spot Diagnosis: biopsy Collaborative Care: surgery, radiation, chemo or combination Health Promotion Expected Outcomes .
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Nur 302 Unit I
Billroth I – Gastroduodenostomy, removes distal 2/3 stomach & attaches to duodenum
Billroth II – Gastrojejunostomy, removes distal 2/3 stomach & attaches to jejunum
Vagotomy-eliminates stimulus for acid secretion
Pyloroplasty –enlarges pyloric sphincter, increases gastric emptyingSurgical Therapy
Verify order to transfuse blood and consent
Take initial set VS
Pick up blood from lab
Assess IV site
Verify pt ID, & blood compatabilityCase Scenario & Prioritization
Like dumping syndrome
2 hours after eating
Bolus of high CHO fluid into small intestine->bolus of insulin secretion->hypoglycemia
What are the s/s of hypoglycemia?