Cholecystectomy

  • Robotic Surgery to Stay or Not to Stay

    endocrine surgery, colorectal surgery, and bariatric surgery” (7) are the general surgeries that use robot technology the most. “In hepatobiliary surgery, studies comparing the commonly performed and relatively straightforward laparoscopic cholecystectomy do not demonstrate any benefit to the robotic procedure, thought they do confirm its safety and efficacy.” (7) “Robotic technology appears less useful in endocrine surgery. For instance a small randomized control trial comparing laparoscopic

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  • Care of a Group of Patients

    passed away and night nurse explained that his loss has caused him a lot of anxiety. His chart indicates she his past medical history includes hypertension, pancreatitis and lumbago with previous surgeries listed as kidney stone removal, and cholecystectomy. Telemetry was ordered upon admit. Vitals are currently stable (T:97.9, P:92, BP:139/81, RR:18; O2:97% RA). Client is allergic to Quinolones and contrast media, currently on a Cardiac diet. Client was in and out of his room all morning for

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  • Robotic Surgery

    these machines and the surgeries they are able to perform are driving more of our hospitals to purchase one of these systems. What types of surgeries can be done using robots? Fraust (2007) wrote in 1987, a minimal evasive surgery known as a cholecystectomy was performed for the first time using the assistance of a robot. Laparoscopic surgery is performed by using small incisions in the area to be operated on. This allows the patient to recover from surgery faster than using regular incisions and

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  • Kono

    Arizona. There are only 3 major competitors in the market space. Ethicon Surgical Care has been utilizing “push marketing” for client retention and to stimulate demand of endoscopic surgeries, like Bariatric-weight loss surgery and Laparoscopic Cholecystectomy. In 2012 only three percent of surgical candidates in Arizona received the bariatric surgery, due to the lack of awareness of surgical treatment for obesity being very low. Ninety-seven percent of overweight patients were left untreated.

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  • Robotic Surgery

    | Brain Biopsy | 1985 | Prostate Surgery (TURP) | 1988 | Hip Replacement (to mill out precision fittings) | 1992 | Reconnection of Fallopian Tubes | 1997 | Assisted Heart Bypass | 1998 | Bypass surgery on a beating heart | 1999 | Cholecystectomy (Gall bladder removal) | 2001 | Bladder Reconstruction in a Child | 2008 | Robot assisted Kidney Transplant | 2009 | Table 1: Notable Robotic Medical Procedures Timeline The Technology and Associated Sciences Robotic surgery Robotic

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  • Bloom's Research and Response

    after her carpets where cleaned. The Pre-Op nurse told the circulating nurse this information and then was told to the anesthesiologist. The patient was evaluated by the anesthetist and was cleared for surgery. The patient was having an elective Cholecystectomy and never made it home alive. The patient had an ankle fracture several weeks prior. This information was communicated to both doctors but was not considered relevant. How much weight does a nurse carry? When the circulating nurse interviewed

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  • Gallbladder

    called a Cholecystectomy. A Cholecystectomy is performed with a laparoscopy and it is usually accomplished by day surgery. “In the study, Dr. Taylor S. Riall, associate professor of surgery at the University of Texas Medical Branch in Galveston, and colleagues analyzed data on 29,818 Medicare beneficiaries hospitalized for a first episode of sudden inflammation of the gallbladder (acute cholecystitis). While 75 percent of the patients underwent surgical removal of the gallbladder (cholecystectomy), one-quarter

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  • Med Surge Process Paper

    because of her lack of mobility and her poor nutritional habits. Protein is needed in order for the skin to be able to heal properly and more than likely this patient will not be able to maintain the needed level. In the past the patient had a cholecystectomy, endarterectomy and a central line. On October 2, 2011, the patient received and influenza vaccination. In addition to these procedures the patient has had or still has the following medical diagnosis; atrial fibrillation, cellulitis and abscess

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  • Pt Notes

    | |chol(e)- |Of or pertaining to bile |Cholaemia | |cholecyst(o)- |Of or pertaining to the gallbladder |Cholecystectomy | |chondr(i)o- |cartilage, gristle, granule, |Chondrocalcinosis | |

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  • Rup1

    someone whereas non-maleficence addresses the risk of a procedure to cause harm to a patient (Cherry & Jacob, 2011). A good example of this is the case of an 88 year old patient that arrived at the surgery center to have an elective laparoscopic cholecystectomy. Upon admission, the patient’s EKG showed an abnormal rhythm. She advised the nurse that she recently had chest pain while climbing her stairs. The anesthesiologist was immediately notified of the EKG results along with lab results showing

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  • Health Assessment

    any grant/funding information and a complete correspondence address.] Abstract A 54 year old male with health history of high cholesterol, diverticulitis resulting in low anterior colon resection with incidental splenectomy in November 2013, cholecystectomy October 2012 and history of hypertension on beta blockers and antihypertensive medications. Patient seen in his primary care physician’s office today for complaints of headache unresponsive to Motrin and Tylenol. [Title Here, up to 12 Words,

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  • Gi and Study Guide

    Relieve pain, nausea, vomiting, provide emotional supports, comfort, maintain e- balance and fluid. Postoperative care: What patient teaching must be done after the client has a lapariscopic cholecystectomy (Lap chole) see table 44-2 - Postoperative nursing care following a laparoscopic cholecystectomy includes monitoring for complications such as bleeding, making the patient comfortable, and preparing the patient for discharge. - instruct pt to remove the bandage on the puncture site the

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  • Classisn in Ameria

    Extern * Pediatric Surgery * General Surgery * Plastic and Reconstructive Surgery * OB/GYN Procedures * Orthopedic Surgery * Vascular Surgery * ENT Surgery * Urologic Procedures * D&C/D&E * Mastectomy * Lumpectomy * Laparoscopic Cholecystectomy with Cholangiogram * TAH/LAVH * Hernia Repair - Inguinal/Umbilical/Incisional * Arthroscopy - Shoulder/Knee/ACL Repair * Gastric Bypass * Tonsillectomy/Adenoidectomy * FESS/Sinus Surgery * Bypass Graft - AV Fistula/Femoral Popliteal *

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  • Learning Outcome 1

    Reducing staff or team size Using new technologies may cut down the number of staff needed to perform tasks, thus freeing up capacity to use skilled staff elsewhere. For instance, in Austria robotic camera holders were used to make laparoscopic cholecystectomy feasible and safe as a solo surgeon operation. 18 There are a number of other examples from around the world of how technology has 8 allowed operations to take place with reduced staff assistance to surgeons.19,20,21 Another example is

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  • Case Study

    common illnesses such as the flu or a cold, nothing serious. As she got older her health started to decline. It seemed to start when she broke the metatarsal arch of her foot. She has also had her gallbladder removed, hernia surgery, laparoscopy, cholecystectomy, hysterectomy, left ureteroscopy and left robotic-assisted nephroureterectomy. Apart from being a current smoker and occasional drinker, she has no known allergies that affect her every day health. Unlike her grandmother and siblings, her mother

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  • German

    aviation, and here we will discuss the medical usage of robots, starting from the history, to political and economic questions, also Psychological considerations and sociological effects , and the ethical considerations. The first laparoscopic cholecystectomy using robots was performed in 1987, since then, the procedures performed in similar ways have grown “at a pace consistent with improvements in technology and the technical skill of surgeons.” (Surg) this surgery is known as minimally invasive

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  • Templates

    | | | |December 2, 2009 |Peter Biagtan Nepales |Cholecystectomy |Mrs. Florita Guarin |Ms. Kristine Grace Bustillo | |3:30pm |211796 |

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  • Noe Seemta Fre Shitani

    of marked dyspnea. His wife brought him to the emergency room right away. There, a chest radiograph showed a tension pneumothorax involving the left lung. Patient also states that he gets cramping in his right calf when he walks. PMH: Had cholecystectomy 20 years ago. Total dental extraction 5 years ago. Patient describes intermittent claudication. Claims to be allergic to penicillin. Diagnosed with emphysema more than 10 years ago. Has been treated successfully with Combivent (metered dose inhaler

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  • Robotic Surgery

    technology of computers and programming. 1985 saw the introduction of the PUMA 560. The PUMA 560, a model developed after the initial PUMA 200, was used in neurosurgical procedures, specifically biopsies, for its precise control. The first cholecystectomy laparoscopic surgery performed with the use of a robot was in 1987 (Lee, 2011). In 1988, doctors used the PUMA 560 for prostate surgery. The PUMA 560 was quickly replaced by the PROBOT, which was specifically designed for prostate procedures

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  • Ethics

    correct answers by identifying one part as incorrect. For example: After a cholecystectomy the postoperative diet is usually: 1. High fat, low calorie 2. High fat, low protein 3. Low fat, high calorie 4. Low fat, high protein If you know, for instance, that the diet after a cholecystectomy is usually low or moderate in fat, you can eliminate options 1 and 2 from consideration. If you know that the cholecystectomy client usually is overweight, you can eliminate option 3 from consideration

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  • Differences in Competencies of Adn Degree Nurse vs Bsn Degree Nurse

    length of their stay in the hospital. BSN nurses also have higher satisfaction rates than their ADN counterparts (“The Impact of Education,” 2015). Case Study: A few months ago we had a 35-year-old female patient who underwent laparoscopic cholecystectomy admitted to our unit. A few hours into the shift, she called her nurse, an ADN graduate, to her room complaining of abdominal pain and heartburn. Being that she’s a post-op patient, the nurse immediately asked if she has passed flatus, to which

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  • Bsn vs Adn

    situation by 5%. Using a patient scenario to describe how the two types of nurses will approach a problem. The nursing assistant is doing vital signs during change in shift when she approaches patient X who is 1 day status post op cholecystectomy. His vital signs are reading a high blood pressure he is breathing fast with less than 90% oxygen saturation on room air. The nursing assistant reports this to the nurse in charge of patient A. Nurse A has 6 months experience with an ADN. She

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  • Robotic Surgery

    Review Related Literature Twenty-five years have passed since the first successful minimally invasive surgical procedure and laparoscopic general surgery has grown exponentially with particular regard to certain pathologies and now, besides cholecystectomy , it is considered to be the gold standard for surgery of the oesophagogastric junction, adrenal glands, distal pancreas, and spleen. The expanding role of laparoscopic surgery is closely associated with technological advances, including the

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  • Personal Health Essay

    saw her following the weight loss, because I always knew her as a very big lady. All of my grandparents lived to be in their mid to late 80’s except my paternal grandmother. She died while in her 60’s because of a thrombosis after having a cholecystectomy. I am not sure about the medical history of my father’s family because my parents were divorced and we lost contact with them after my father lost his battle with a recurring brain tumor. He died when he was 40. I just turned 42 last month

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  • Central Theorum

    relatively standardized fashion by a small team. Examples of surgical procedures that might be appropriate for such analysis would include coronary artery bypass, total joint replacement, and transurethral resection of the prostate, laparoscopic cholecystectomy, hernia repair, laminectomy, and cataract extraction with lens implantation. Procedures that would not be appropriate, at least in most institutions, would include the Whipple procedure, shunts for portal hypertension, and resection of cardiac

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  • Patient Education Plan

    stones, urinary tract infection (UTI), high cholesterol, irritable bowel syndrome, diabetes mellitus (Type 1), acid reflux, allergic rhinitis, addison’s disease, osteoporosis, osteopenia, anxiety, and depression. She has a surgical history of: cholecystectomy, colonoscopy, liver biopsy, and hysterectomy. After asking the patient how she learns best, she states “I learn better with a hard copy and someone going over the information me and my husband.” Also assessed were her needs. The acute stage she

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  • Healthcare Reform Bill

    socialized health care in the United Kingdom, the 1970s and 1980s witnessed the release of a range of studies that highlighted wide geographical variations in general medical admissions including operations such as appendectomy, caesarean section, cholecystectomy, hysterectomy, tonsillectomy, and prostatectomy.[7] These variations not only demonstrated the inequities of the National Health Service (NHS), but also raised questions about the integrity and cost-effectiveness of many of its treatments.

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  • Candler V. Persuad

    knowledge and training in surgery procedures. Thus, specific prior experience is necessary in order to earn to credentials of competency. In this case the surgeon needs to more than just a certificate received from completing a laparoscopic laser cholecystectomy workshop. Furthermore, the skills acquire during residency is not enough support the qualifications of a surgeon. Special education, training, practice, experience, and time are required for specific procedures. Before granting any clinical

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  • Is Vipi

    * Laparoscopic cholecystectomy * 4 incisions – scope, carbon dioxide delivery, irrigation, grab gallbladder * Advantages * Smaller scar * Less bleeding, * Shorter hospitalization stay * “Quicker” recovery/return to work * Nursing Care * Handle pain - Morphine * Cough and deep breathe * Ambulate – get rid of the gas (CO2) * Incisional cholecystectomy * Post operative

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  • Robotic Surgery

    achieved great success in the advancing of the technology. Since then, surgical robots have undergone tremendous change and until to date, robotic tele surgical machines have been used in cholecystectomy (Lanfranco, et al. 2004). In fact, minimally invasive surgery, which began in 1987, was used in laparoscopic cholecystectomy. Ever since, there have been many surgeries that consider using the invasive technique. After all, minimally invasive surgery has many advantages, including the incisions being smaller

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  • Task C for Health and Social Care a Level

    could act as a barrier due to terminology used in a message may not be fully understood by the other person. An example of a language which people may not understand is specialist jargon and abbreviations usually used by doctors and nurses. E.g. Cholecystectomy which a doctor would use instead of the simple everyday language to say they are having their gallbladder removed, this would mean nothing to the patient if they were not experienced in this area, the doctor would have to go on and tell them about

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  • Devry Hit 111 Entire Course-Latest 2015 November

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 Digestive and Urinary Systems Case Studies (graded) Class, in this thread we will be looking at digestive

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  • Pointed Care Plan in Nursing

    Allergies Code Status: DNR Significant Hx: History of nerve damage to her esophagus, HTN, history of venous insufficiency, psoriasis, encounter of palliative care, Acute Renal failure, acute myocardial infarction. Post Surgical History: Hx. of cholecystectomy. Patient has been married for 64 yrs and currently resides in an apartment with her husband. Patient Story: She is an 84 yr old female who came to the ER on 9/23/10 complaining of SOB which she had been experiencing for approximately 4

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  • Nursing Research

    finding should be strongly considered for an open cholecystectomy even if they are asymptomatic. It is best to avoid a laparoscopic cholecystectomy in this setting to avoid the risk of peritoneal seeding if, indeed, gallbladder cancer is present. * Patients who present with a gallbladder mass or jaundice are evaluated preoperatively for resectability as previously described. If the tumor is resectable, the patient undergoes a cholecystectomy with en bloc liver resection and regional lymphadenectomy

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  • Comprehensive Health

    Glue Ear, Chicken Pox, and Asthma. Denies history Scarlet Fever or Rheumatic Fever. Adult Illnesses. Medical: Pre-hypertension, 2006 treatment refused by patient. Surgical: Grommet insertion, 1983; Laparoscopic Ovarian Cystectomy, 2007; Cholecystectomy, 2010; Appendectomy, 2011; Laproscopic Salpingostomy, 2013. Ob/gyn: 1 normal vaginal delivery, 1 ecotopic pregnancy; last menses 1 month ago. Psychiatric: GAD, 2013 treated with alprazolam .5mg. Social History:Born in Fort Hood, TX at Darnell

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  • Digestive Outline

    Under the influence of the hormone cholecystokinin (CCK), the gallbladder contracts and ejects stored bile. Although not necessary for life, normal gall bladder function is highly desirable. After surgical removal of the gall bladder (called a cholecystectomy), a person would experience severe indigestion if they ate a large meal high in fat content. Gallbladder Is a sac-like organ attached to inferior surface of liver Stores and concentrates bile continuously produced by liver When SI is empty

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  • Obstretics

    methotrexate). Hertz and Li 1960 Automatic insufflator invented for laparoscopy. Kurst Semm (Gyn.) 1978 In vitro fertilization first performed successfully. Patrick Christopher Steptoe 1987 First laparascopic cholecystectomy performed (during a gynecologic laparoscopy). Philippe Mouret

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  • Devry Hit 111 Complete Course – Latest 2015

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 DIGESTIVE AND URINARY SYSTEMS CASE STUDIES (GRADED) Class, in this thread we will be looking at digestive and urinary

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  • Registered Nurse

    Georgios Kotsovolis, Konstantinos Karakoulas, Vasileios Grosomanidis & Nikolaos Tziris Comparisons Between The Combination Of Gabapentin, Ketamine, Lornoxicam And Local Ropivacaine And Each Of These Drugs Alone For Pain After Laparoscopic Cholecystectomy: A Randomized Trail World Institute Of Pain. Pain Practice Volume 15 Issue 4 2015 355-363 33 Régis Fuzier, Isabelle Serres, Emmanuelle Guitton, Maryse Lapeyre-Mestre, Jean-Louis Montastruc Adverse Drug Reactions To Gabapentin And

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  • Medical Tourism

    Replacement Surgery * Nuclear Medicine * Neurosurgery & Trauma Surgery * Preventive Health Care * Refractive Surgery * Osteoporosis * Spine Related * Urology * Vascular Surgery * Gall Bladder stones surgery ( Laparoscopic Cholecystectomy ) * Hernia surgery ( Laparoscopic mesh repair ) * Piles ( Stapled Hemorrhoidectomy ) * Varicose Veins surgery * Endoscopic Thoracic Sympathectomy for Hyperhidrosis * Laparoscopic Appendicectomy * Laparoscopic Adrenalectomy * Laparoscopic

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  • Devry Hit 111 Complete Course – Latest 2015

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 Digestive and Urinary Systems Case Studies (graded) Class, in this thread we will be looking at digestive and urinary

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  • Devry Hit 111 All Discussions – Latest

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 DIGESTIVE AND URINARY SYSTEMS CASE STUDIES (GRADED) Class, in this thread we will be looking at digestive and urinary

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  • Devry Hit 111 Complete Course – Latest 2015

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 Digestive and Urinary Systems Case Studies (graded) Class, in this thread we will be looking at digestive and urinary

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  • Devry Hit 111 All Discussions – Latest

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 DIGESTIVE AND URINARY SYSTEMS CASE STUDIES (GRADED) Class, in this thread we will be looking at digestive and urinary

    Words: 1818 - Pages: 8

  • Devry Hit 111 Complete Course – Latest 2015

    years. Family History: Her family history is negative for coronary artery disease. Allergies: None Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., and Lasix 40 mg a day. Operative History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago. OUTPATIENT OFFICE ENCOUNTER week 4 Digestive and Urinary Systems Case Studies (graded) Class, in this thread we will be looking at digestive and urinary

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  • Chole

    District Hospital, and also our Clinical Instructor, Ma’am Charmaine Abdon, for her patience in teaching us and making sure we learn the most from our clinical exposure. The purpose of this case study is to be familiar with a patient that undergo Cholecystectomy; How it starts, what are the causes and what are the signs and symptoms; especially how to prevent, treat and manage the patient by giving medication for treatment and providing rapport. In this case, we had a hard time to evaluate the

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  • Management

    experiences. Pain; 41: 303-7 Powell H, (1990). Comparison of intramuscular ketorolac and morphine in pain control after laparotomy. Anaesthesia; 45, 538^2 Power I, (1990). Comparison of intramuscular ketorolac and morphine for pain relief after cholecystectomy. Br J Anaesth; 65: 448-55

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  • Study

    infection from micro 4. You cannot give aspirin to pregnant women or during a sickle cell crisis 5. For unconscious clients, turn every two hours to maintain pulonary function, this reduces pooling of respiratory secretions 6. T-Tube drains bile from cholecystectomy (greenish-brown), document the drainage, should be 500-1000 daily 7. Prep for IV Pyelogram- client cannot be taking "metformin" glucophage, Contrast dye can lead to lactic acidosis 8. Following Lumbar Puncture- client will remain supine, flat

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  • Sylbuss

    all of which have interfered with every aspect of his life. This is not due to his peptic ulcer disease. He will have persistent nausea and vomiting for months at a time. His hemoglobin fluctuates between high and normal. He had a laparoscopic cholecystectomy on 8-30-2004 which did not significantly improve his symptoms. Periportal adenopathy was noted on a CT scan dated 9/2003. His gastric emptying scan was normal. The upper endoscopy performed on 12/2004 revealed gastritis but this does not explain

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  • Qualitative Research Article Critique Nrs 433v

    factors influencing return back to work after cholecystectomy” (Keus, De Vries, Gooszen, & Van Laarhoven, 2010). Problem Statement For the past one-hundred years open cholecystectomy (OC) was considered a safe surgical standardized procedure. Then in the 1970’s came the small incision cholecystectomy (SIC) which had a significant decrease in post-operative complications. Before the SIC could really gain popularity, came the laparoscopic cholecystectomy (LC). The LC procedure soon gained immense

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