Ed-bariatric care For The Ed
Lets test your knowledge of care for the bariatric surgery patient. . .
- 1.Serious complications of Bariatric Surgery include which of the following:
- A.
Hemorrhage
- B.
Pulmonary emboli
- C.
Marginal Ulcer
- D.
Bowel obstruction
- E.
Anastomotic Leak
- F.
All of the above
- 2.Signs and symptoms of an anastomotic leak may include:
- A.
Abdominal pain/ back pain
- B.
Tachycardia
- C.
Increased urine output
- D.
Fever
- E.
A,b & d
- F.
All of the above.
- 3.Management of an anastomotic leak includes upper GI / abdominal CT, possible surgical intervention and notifying a bariatric surgeon.
- A.
True
- B.
False
- 4.A patient presents to the ED complaining of abdominal pain and has a history of gastric band placement. Which of the following should be ruled out?
- A.
Esophageal dilatation
- B.
GI bleed
- C.
Gastric band slippage
- D.
Gastric band erosion
- E.
A,b,c
- F.
A,c,d
- 5.Please choose interventions that can be included in the plan of care of patients post gastric band placement complaining of abdominal pain?
- A.
Upper GI with Gastrografin, IV hydration, Physician to deflate
- B.
Lower GI with Gastrografin, Physician to deflate/ IV hydration
- 6.Patients post Sleeve Gastrectomy and Gastric Bypass will always present with nausea, vomiting and fever if they have an anastomotic/ staple line leak.
- A.
True
- B.
False
- 7.A patient presents to the ED post gastric bypass and is complaining of abdominal pain and nausea. Abdominal pain is unresolved with narcotics. Which of the following interventions should be expected to be implemented?
- A.
Call and consult GI physician
- B.
Call and consult bariatric surgeon
- C.
CT with oral and IV contrast
- D.
Work up for possible internal hernia & small bowel obstruction
- E.
B,c & d
- 8.Please pick the bariatric resources available to ED staff.
- A.
ASBMS Clinical Pearls for ED Care
- B.
Bariatric Resource Binder
- C.
Martha Lopez RN (x7767), Bariatric Coordinator
- D.
5North nursing staff
- E.
All of the above
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