treatment of patients who have had the Roux en Y in primary care?

There's lots of information about the post operative period. I need the title of a book or medical journal article on treating these patients further down the timeline, in primary care, when they get routine illnesses. They are chemically and anatomically different from other people; they dehydrate more easily; interruptions in their eating habits affect them more strongly. I need credible professional information on their medical management in the years after the surgery.

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  • Anonymous
    7 years ago
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    After the surgery treatment of patients who have had the Roux en Y in primary care include :

    You will be taken to the recovery room. You will stay there until you wake up. You will then be taken back to your room. Do not get out of bed until your caregiver says it is OK. Bandages will cover your incisions. These bandages keep the areas clean and dry to help prevent infection.

    Activity: You may need to walk around the same day of surgery, or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your caregiver says you can. Talk to caregivers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let caregivers know you need help.

    Deep breathing and coughing: This will help decrease your risk for a lung infection after surgery.

    Hold a pillow tightly against your incision when you cough to help decrease pain. Take a deep breath and hold it for as long as you can. Deep breaths help open your airways. Let the air out and follow with a strong cough. Spit out any mucus you cough up. Repeat the steps 10 times every hour.

    You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece into your mouth and take a slow, deep breath. Let out your breath and cough. Repeat the steps 10 times every hour.

    Eating:

    You will start eating by sipping water or chewing on ice chips. Then you will be started on a sugar-free, clear liquid diet. Examples of sugar-free, clear liquids are broth, jello, and clear juice. You may only be able to eat a few teaspoons of liquid at the beginning. Stop eating when you feel full, even if you have food (liquid) left over.

    Next, you will be given a sugar-free, full liquid diet. This may include liquids such as high protein drinks and dairy product drinks. This may also include non-creamed soups pureed in a blender. You may only be able to have a small amount of liquid before you feel full. You may need to follow a full liquid diet for a while after going home from the hospital. You will slowly be able to add other foods over time. In time, you should be able to eat about one-half to two-thirds of a cup of regular food during each meal.

    Foley catheter: This is a tube caregivers put into your bladder to drain your urine into a bag. Keep the bag below your waist. This will help prevent infection and other problems caused by urine flowing back into your bladder. Do not pull on the catheter, because this may cause pain and bleeding, and the catheter could come out. Keep the catheter tubing free of kinks so your urine will flow into the bag. Caregivers will remove the catheter as soon as possible, to help prevent infection.

    Medicines:

    Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

    Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.

    Blood thinners: This medicine helps prevent clots from forming in the blood. Blood thinners may be given before, during, and after a surgery or procedure. Blood thinners make it more likely for you to bleed or bruise. Use an electric razor and soft toothbrush to help prevent bleeding.

    Pain medicine: Caregivers may give you medicine to take away or decrease your pain.

    Do not wait until the pain is severe to ask for your medicine. Tell caregivers if your pain does not decrease. The medicine may not work as well at controlling your pain if you wait too long to take it.

    Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

    Oxygen: You may need extra oxygen if your blood oxygen level is lower than it should be. You may get oxygen through a mask placed over your nose and mouth or through small tubes placed in your nostrils. Ask your caregiver before you take off the mask or oxygen tubing.

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