care for a patient following gastric surgery

Expert Solution

Gastric surgeries refer to the surgical processes in the stomach and the most common gastric surgery is the Gastric bypass surgery( stomach is divided into a small upper pouch and a much larger lower "remnant" pouch and then the small intestine is rearranged to connect to both).

Care for a patient following gastric surgery

1) Wound Care

change the dressing every day if your provider tells you to do so.
Be sure to change dressing if it gets dirty or wet.
DO NOT allow to wear tight clothing that rubs against incisions while they heal.
Keep dressing (bandage) on wound clean and dry.
If there are sutures (stitches) or staples, they will be removed about 7 to 10 days after surgery.
Some stitches can dissolve on their own.
Unless told otherwise, DO NOT shower until after follow-up appointment with provider.
Advise to press a pillow over incisions when the patient need to cough or sneeze.

2)Post-operative lab work

Lab work is done at 4, 12, 18, and 24 month visits after surgery, and then yearly:

CBC
Ferritin, iron, iron saturation
Comprehensive metabolic profile
Intact parathyroid hormone
RBC folate
Vitamins A, B1 (thiamine), B12, and 25 hydroxy Vitamin D

3) Follow-up with your patient

After gastric surgery, it is helpful to see your patients within one to two weeks after surgery to review medications, and to check the status of the abdominal wound.

Patients who have diabetes may need decreased amounts of diabetic medication within a few days of surgery. Patients are instructed to monitor their glucose levels four times daily.
The need for antihypertensive medication may change early after surgery, as well. Patients who take antidepressant medications should be encouraged to remain on these medications for the first few months following surgery.
Patients are encouraged to drink at least 48-64 ounces of non-caloric fluids daily.

4) Post-operative

After surgery patients will progressively advance their diet from liquids to solids, over a seven-week period.

Nightingale answered 1 year ago

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