![]() Usually, the NG tube is clamped for specified periods of time when peristalsis returns to determine tolerance. Progress diet as tolerated, advancing from clear liquid to bland diet with several small feedings. Meets fluid and nutritional needs until oral intake can be resumed. Prevents discomfort of dry mouth and cracked lips caused by fluid restriction and the NG tube.Īvoid milk and high-carbohydrate foods in the diet.Īdminister IV fluids, TPN, and lipids as indicated. Provide oral hygiene on a regular, frequent basis, including petroleum jelly for lips. Note: The physician or surgeon may need to reposition the tube endoscopically to prevent injury to the operative area.Ĭaution patient to limit the intake of ice chips.Įxcessive intake of ice produces nausea and can wash out electrolytes via the NG tube. Provides rest for the GI tract during the acute postoperative phase until the return of normal function. Notify the physician if the tube becomes dislodged. Indicators of fluid and nutritional needs and effectiveness of therapy, and detects developing complications. Monitor laboratory studies (Hb and Hct, electrolytes, total protein, prealbumin). Provides information about the adequacy of dietary intake and determination of nutritional needs. Note admission weight and compare with subsequent readings. A decline in output may reflect the return of GI function. Continued or recurrent bleeding suggests complications. ![]() Will be bloody for the first 12 hr, and then should clear and turn greenish. Note the character and amount of gastric drainage. Monitor tolerance to fluid and food intake, noting abdominal distension, and reports of increased pain, cramping, nausea, and vomiting.Ĭomplications of paralytic ileus, obstruction, delayed gastric emptying, and gastric dilation may occur, possibly requiring reinsertion of the NG tube. Peristalsis can be expected to return about the third postoperative day, signaling readiness to resume oral intake. ![]() Promoting Adequate Nutrition BalanceĪuscultate for resumption of bowel sounds and note passage of flatus. Therapeutic interventions and nursing actions for patients with undergoing subtotal gastrectomy may include: 1. The client will correctly perform necessary procedures, explaining reasons for actions.The client will identify necessary interventions/behaviors to maintain an appropriate weight.The client will verbalize understanding of functional changes.The client will verbalize understanding of the procedure, and disease process/prognosis.It is ultimately the nurse’s clinical expertise and judgment that shape the care plan to meet the unique needs of each patient, prioritizing their health concerns and priorities. In real-life clinical settings, it is important to note that the use of specific nursing diagnostic labels may not be as prominent or commonly utilized as other components of the care plan. While nursing diagnoses serve as a framework for organizing care, their usefulness may vary in different clinical situations. See assessment cues under nursing interventionsįollowing a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with # based on the nurse’s clinical judgement and understanding of the patient’s unique health condition.Schedule regular follow-up appointments for monitoring and adjustment of treatment plans.Īssess for the following subjective and objective data:.Monitor and manage dumping syndrome or other gastrointestinal symptoms.Address concerns related to digestion and absorption of nutrients.Educate patients on postoperative care and lifestyle adjustments.Provide nutritional support and guidance for diet modifications.Monitor and manage complications, such as leaks or bleeding.Promote wound healing and prevent surgical site infections.Manage pain and discomfort post-gastric resection. ![]() The following are the nursing priorities for patients with #: Nursing Care Plans and Management Nursing Problem Priorities Subtotal gastrectomy or gastric resection is the removal of a portion of the stomach indicated for gastric hemorrhage/intractable ulcers, dysfunctional lower esophageal sphincter, pyloric obstruction, perforation, or cancer. During subtotal gastrectomy, the surgeon removes only the portion of the stomach affected by cancer. Initiating Patient Education and Health Teachings Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis for this condition. Use this nursing care plan and management guide to provide care for patients who underwent subtotal gastrectomy.
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