COMPLICATIONS leak fever abdominal pain tachycardia

Complications leak fever abdominal pain tachycardia

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COMPLICATIONS Infection/Anastomotic leak- fever, abdominal pain, tachycardia Hemorrhage Bile Reflux Dumping Syndrome Dysphagia Band slip Band erosion Nutrient Deficiencies VTE
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PATIENT TEACHING/ NURSING INTERVENTIONS Pre & Post-op Interventions in general Emergency Interventions
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THYROID Thyroid hormones: T 3 , T 4, calcitonin Iodine is contained in thyroid hormone TSH from the anterior pituitary controls the release of thyroid hormone Controls cellular metabolic activity T 3 is more potent and rapid-acting than T 4 Calcitonin is secreted in response to high plasma calcium level and increases calcium deposit in bone
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THYROID DIAGNOSTIC TESTS TSH Serum free T4 T3 and T4 T3 resin uptake Thyroid antibodies Radioactive iodine uptake Fine-needle biopsy Thyroid scan, radioscan, or scintiscan Serum thyroglobulin Refer to Chart 52-2 for medications that can alter test results
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DIETARY IMPACT – PROTEIN & IODINE Sources Animal / Vegetable proteins Iodized salt Enters the GI tract Absorbed Interacts with proteins Amino acids [tyrosine] Forms thyroid hormones T3 T4
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HYPO THYROIDISM Hashimoto’s disease (most common cause in children) Affects women 6X more frequently than men Early symptoms may be nonspecific Complications: myxedema (extreme symptoms) may progress to stupor, coma, and death Refer to Plan of Nursing Care
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MEDICAL MANAGEMENT OF HYPOTHYROIDISM Synthetic levothyroxine replacement therapy Medication interactions Effects of hypnotic and sedative agents; reduce dosage Support of cardiac function and respiratory function Prevention of complications
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