Gastric Bypass

Question 1

What is a surgery that helps people lose weighty by changing how the stomach and s.intestine handle food eating?

Answer 1

Gastric bypass

Question 2

HTN, dyslipidemia, type II diabetes, insulin resistance, CAD, angina, stroke, cholecystitis, infertility, osteroarthritis, resp. probs, sleep apnea, cancer, DVT/PE are all what?

Answer 2

Related conditions for gastric bypass surgery

Question 3

What makes a pt a candidate for gastric bypass surgery?

Answer 3

BMI >40 or BMI >35 w/ medical conditions associated w/ obesity

Question 4

What are some important preop planning to go over w/ the pt. before their bariatric surgery?

Answer 4

No smoking @ least 2mon prior, stop any aspirin or aspirin containing products (Tylenol) 1mon prior, 48hrs prior to have unsweetened clear liquid diet, NPO day of surgery

Question 5

What are some important post op care interventions for bariatric surgeries?

Answer 5

Assess HR and rhythm, assess breath sounds and wound, will have a CT scan 1st day to observe for obstruction or leak @ the anastomosis sites

Question 6

Tachycardia after a bariatric surgery is the #1 indicator of what problem?

Answer 6

Anastomotic leak

Question 7

What are some other dangerous complications for bariatric surgeries?

Answer 7

Wound infection/dehiscence, pulmonary embolism, DVT and abd hernias or gallstones

Question 8

What are s/s indicative of a pulmonary embolism?

Answer 8

SOB, diaphoresis, anxiety, cold and clammy skin, severe chest pain, and syncope

Question 9

What are some other postop care interventions for bariatric surgeries?

Answer 9

Pain meds, coughing/deep breathing exercises, CPAP if sleep apnea, turn q2h/ambulate both w/ assist, bariatric environment, extreme sensitive care

Question 10

Hair loss, colds, HA, anxiety, depression, delay in wound healing, apathy, fatigue, anemia, edema, irritability, and muscle weakness are s/s of complications r/t to what?

Answer 10

Protein deficiency

Question 11

How many ounces can the pouch hold at a time after surgery?

Answer 11

1-2oz (size of an egg)

Question 12

How long should you wait before or after a meal to drink fluids?

Answer 12

30min

Question 13

What should be eaten first when eating your small 4-6 meals a day?

Answer 13

PROTEIN

Question 14

What should you avoid to avoid dumping syndrome?

Answer 14

Sugar and fat

Question 15

What can’t be absorbed after surgery?

Answer 15

Caffeine or alcohol

Question 16

What should you never allow a health care provider do?

Answer 16

Insert an NGT

Question 17

What drugs are not permitted after these surgeries?

Answer 17

Aspirin or NSAIDs

Question 18

What should be taken daily after surgery?

Answer 18

Chewable multivitamins

Question 19

What is a good source of calcium?

Answer 19

3 TUMS a day

Question 20

Which acid blocker should be used?

Answer 20

Prevacid

Question 21

How much iron w/ protein should be ingested for menstruating women?

Answer 21

325mg/day

Question 22

How much vit B12 should be ingested?

Answer 22

500mcg tab/day

Question 23

How often should you check your temp after surgery?

Answer 23

BID for 1st wk

Question 24

When should you contact your doctor?

Answer 24

If abd pain that doesn’t resolve after 4hrs

Question 25

When should you rush to an ED?

Answer 25

When s/s of chest pain, SOB and calf pain

Question 26

Name this complication: tachycardia, dizziness, sweating, N/V, bloating, abd cramping, severe diarrhea?

Answer 26

Dumping syndrome