tailieunhanh - Ebook Assessing and managing the acutely ill adult surgical patient: Part 2

(BQ) Part 2 book "Assessing and managing the acutely ill adult surgical patient" presents the following contents: Upper gastrointestinal surgery, surgery of the lower gastrointestinal tract, urological surgery, women’s health, orthopaedic surgery, identifying and managing life threatening situations. | Upper Gastrointestinal Surgery Ian Felstead Introduction The upper gastrointestinal tract extends from the mouth to the pylorus of the stomach and incorporates the oesophagus stomach gallbladder and pancreas. The aims of this chapter are to provide information for nurses working on surgical wards that care for patients who have undergone upper gastrointestinal surgery Box . Information will firstly be presented on the common pathophysiological conditions detailing the diagnostic investigations. The major surgical procedures will then be addressed including the specific pre-operative assessment monitoring and preparation required the operative procedure and the specific post operative management and care. This section will include acute pancreatitis management as this is considered to be a surgical diagnosis. Chapter 1 has discussed the general principles of pre-operative assessment and preparation of the patient for surgery. Patients who are to undergo upper gastrointestinal surgical procedures also require some specific assessment and preparation as detailed within this section. Patients undergoing upper gastrointestinal surgery will require the same general post-operative care as those patients undergoing other major surgical procedures. The overall principles of post-operative management have been discussed in Chapter 3 and these should be considered alongside the information presented within this section. Box Aims of the chapter. To introduce the reader to the most common pathophysiological conditions in the upper gastrointestinal tract To d iscuss the common investigations and diagnostic tests performed on patients with the common conditions To d iscuss the major surgical procedures undertaken on the upper gastrointestinal tract with regards to specific pre-operative assessment monitoring and preparation the surgical procedure and post-operative care and management Oesophageal disorders Applied pathophysiology Achalasia This is a relatively rare .

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