Question

In: Nursing

Your patient is a 56 year old male recovering from gastric bypass sleeve surgery. 1. Write...

Your patient is a 56 year old male recovering from gastric bypass sleeve surgery.

1. Write 1 one day protocol to get him on the road to weight loss.
2. Suggest any follow up labs or screenings necessary and at what point in time?
3. Suggest any supplements your patient should be taking post surgery.
4. Suggest 3 lifestyle and 3 dietary recommendations for your patient.

Solutions

Expert Solution

1)A simple one day protocol can be in bed mobilisation,start with clear liquid diet as per order,allow sips of water frequently

2 Labs / screening test

  • Iron
  • Vitamin A,D,E,K,B1,B12
  • minerals like calcium, zinc,selenium potassium

3)Supplements

They need a good protein supplements post surgery.

The others are daily multivitamin drugs,calcium, iron ,vit D and B12 supplements are also required post surgery because of decreased metabolism

4)3 life style recommendation

  • Diet maintanance throughout the life for better results
  • Exercise regularly
  • Mood stabilisation is important due to changes happening in metabolism post eating
  • Home cooked foods are good
  • Personality changes has to be carried out.

3 Diet recommendation

  • Protein supplements
  • No snacks or high calories drink,soda,spicy foods,
  • Drink water half an hour before meal
  • Lean protein, vegetables and whole grains are recommended
  • Chew good completely and no liquids along with mwals

Nightingale answered 3 years ago
Next > < Previous

Related Solutions

A 48 year old woman presented to your office for some nutritional support post-gastric bypass surgery....
A 48 year old woman presented to your office for some nutritional support post-gastric bypass surgery. She saw her primary care doctor who ordered some labs which revealed the following: HA1c (5.3), Iron Total (16), % Saturation (4.3), Vitamin D 25-OH (27.6), Folate (15.8), Vitamin B12 (>1000). She currently gets vitamin B12 injections and has been taking a 50,000 IU vitamin D prescription once a week for the past two months. She is 9 months post-surgery. She is 5' 8",...
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6''...
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6'' and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time. What client education topics are important to reinforce for this client? How will this client's diet be advanced? What complications can occur after this surgery? What is Dumping Syndrome and what are some interventions to help prevent its development?
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6''...
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5'6'' and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time. Direction: Read a scholarly article and summarize in 5-7 sentences about bariatric client education and some complications during or and after the surgery.
A 68 year-old male patient is in the intensive care unit recovering from a hemorrhagic stroke....
A 68 year-old male patient is in the intensive care unit recovering from a hemorrhagic stroke. The patient has made some progress and is able to move his previously paralyzed left arm and leg in a limited way. His speech is also improving. The nurse enters the room and greets the patient. The patient opens his mouth to speak, and his eyes immediately roll upward. His back arches, and then his arms and legs begin to jerk rhythmically. Q1: What...
Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness...
Marie Perez, a 53-year-old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiratory rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, the temperature is 100°F, and her blood pressure is 90/50 mm Hg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die.    Discuss what...
You are caring for a patient who just had gastric bypass surgery. She is 35 years...
You are caring for a patient who just had gastric bypass surgery. She is 35 years old. Past medical history includes obesity and hypertension. Pain is being controlled with Demerol via Patient controlled analgesia (PCA) pump. The PCA pump is delivering Demerol continuously and on demand. 1. What data should the nurse obtain? What s/s should you be monitoring for while the patient is using a PCA pump? 2. Describe signs and symptoms of pain and what pain scale would...
Ginny Baca is a 46-year-old nurse who recently had gastric bypass surgery. She is 65 inches...
Ginny Baca is a 46-year-old nurse who recently had gastric bypass surgery. She is 65 inches tall and weighed 302 pounds prior to surgery. She has lost 15 pounds in the month following her surgery and has advanced her post-surgery diet from clear liquids to solid foods. At her post-surgery visit, she is excited about her weight loss but also worried that she is not able to drink fluids like she used to. She has had two episodes of dumping...
Registered Nurse One Month after Gastric Bypass Surgery Ginny Baca is a 46-year-old nurse who recently...
Registered Nurse One Month after Gastric Bypass Surgery Ginny Baca is a 46-year-old nurse who recently had gastric bypass surgery. She is 65 inches tall and weighed 302 pounds prior to surgery. She has lost 15 pounds in the month following her surgery and has advanced her post-surgery diet from clear liquids to solid foods. At her post-surgery visit, she is excited about her weight loss but also worried that she is not able to drink fluids like she used...
56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical...
56-year-old male client received an open cholecystectomy three days earlier. He is recovering on the surgical unit. During the morning assessment, the nurse auscultated diminished lung sounds anteriorly in the right lung base and the client complained of a cough. Vital signs are: blood pressure 138/89, pulse 126, respirations 26, temperature 101.1oF, and an oxygen saturation of 88%. The surgeon ordered a STAT chest x-ray, complete blood count (CBC), a basic metabolic panel (BMP), arterial blood gases (ABGs). Arterial blood...
In the roux-en-Y gastric bypass surgery, food travels directly from the esophagus into the jejunum, and...
In the roux-en-Y gastric bypass surgery, food travels directly from the esophagus into the jejunum, and the duodenum is excluded from the flow of nutrients. Which of the following is an expected consequence of this change in the anatomy of the digestive tract? Group of answer choices increased secretion of amylase after a meal an increase in the amount of secretin that can be found in the blood after a meal an increase in the amount of gastrin that can...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT