Nursing Observation

1371 Words 6 Pages
Nursing Observation Day in Endoscopy Shilo Swayze Ivy Tech Community College Columbus Campus

Polyps: Polyps are a mass of tissue that arises from the bowel wall and protrude into the lumen. They may develop anywhere in the bowel, but are most common in the sigmoid and colon regions. Polyps are mostly benign, but have the potential to become cancerous. They develop as pedunculated or sessile with pedunculated being more common. The pedunculated become more common with age. Most polyps are less than 1 cm, but can be as large as 4 to 5 cm. Adenomas larger than 1 cm have a greater
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Monitor circulatory and respiratory status and urinary function carefully.
Periodically assess postoperative respiratory and bladder function, and immediately report respiratory rate below 12 breaths per minute.
Assess for bowel function, This drug may cause constipation.
Patient teaching.
If drug is used post-surgery encourage patient to turn, cough and breathe deeply to prevent lung problems.
Instruct patient to avoid hazardous activities until CNS effect subside.
(Lippincott, Williams, Wilkins, p.590)
Propofol. Therapeutic class: Hypnotics
Indications and Dosages: Adults younger than 55 classified as American Society of Anesthesiologist (ASA) Physical Status (PS) category I or II: 2 to 2.5 mg/kg I.V. Give 40-mg boluses every 10 seconds until desired response is achieved.
Monitored anesthesia care. Healthy adults younger than 55: 100 to 150 mcg/kg/minute (6 to 9 mg/kg/hr) I.V. for 3 to 5 minutes or a slow injection of 0.5 mg/kg over 3 to 5 minutes. For maintenance dose, give infusion of 25 to 75 mcg/kg/minute (1.5 to 4.5) mg/kg/hour), or incremental 10- or 20 mg boluses.
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Chronic constipation; preparation for childbirth, surgery, or rectal or bowel examination.
Adults and children age 12 and older: 5-15 mg P.O. in evening or before breakfast. Or, 10 mg P.R. for evacuation before examination or surgery. Enema may be given as a single daily dose.
Administration P.O.
Don’t give tablets within 1 hour of taking antacid or milk.
Don’t crush or split tablets.
Rectal. Insert suppository as high as possible into the rectum and try to position suppository against rectal wall. Avoid embedding within fecal material because doing so may delay onset of action.
Action.
Unknown. Stimulant laxative that increases peristalsis, probably by direct effect on smooth muscle or the intestine by irritating the muscle or stimulating the colonic intramural plexus. Drug also increases fluid build up in intestine and colon.
Adverse reactions.
CNS: dizziness, muscle weakness.
GI: abdominal cramps, nausea, vomiting, diarrhea with high doses.
Metabolic; fluid and electrolyte imbalances, alkalosis, hypokalemia.
Musculoskeletal: tetany.
Interactions.
Drug-drug. Antacids: Premature dissolution of enteric coating may cause dyspepsia or gastric

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