Podcast Beta
Questions and Answers
What is the normal drainage amount for a T-tube in the first 24 hours after surgery?
The position of the T-tube should be above the level of the surgical wound to promote bile drainage.
False
What positions should the patient be placed in to enhance gravity drainage of bile?
Fowler position
Bile can irritate the skin; a __________ product may be necessary for skin protection.
Signup and view all the answers
Match the following nutritional aspects with their relevance to gallbladder disease:
Signup and view all the answers
When should excessive drainage from the T-tube be reported?
Signup and view all the answers
Diet counseling is not necessary for patients with gallbladder disease.
Signup and view all the answers
What should be monitored in a patient with a T-tube to assess their condition?
Signup and view all the answers
Study Notes
T-tube Care
- Ensure proper connection to sterile container, keeping the tube below the surgical wound level.
- This promotes bile flow and prevents backflow or skin irritation from bile.
- Monitor T-tube drainage color and consistency, recording it as output.
- Normal drainage is up to 500 mL within the first 24 hours, decreasing to less than 200 mL in 2-3 days.
- Initial drainage can be blood-tinged, changing to greenish brown.
- Report excessive drainage immediately, especially if exceeding 500 mL after 48 hours.
- Place the patient in Fowler position to promote gravity drainage of bile.
- Assess skin for bile leakage during dressing changes.
- Use barrier products for skin protection as bile irritates the skin.
- Teach the patient to manage the tube while turning, ambulating, and performing daily tasks.
- Avoid pulling or traction on the tube.
- Teach the patient to care for the T-tube, clamp it, and recognize infection signs if needed.
### Nutrition for Gallbladder Disease
- Assess nutritional status due to potential nutritional deficiencies caused by gallbladder disease.
- Evaluate laboratory results like serum bilirubin, albumin, glucose, and cholesterol levels.
- Elevated serum bilirubin indicates impaired bilirubin excretion due to obstructed bile flow.
- Low serum albumin suggests poor nutritional status.
- Glucose intolerance and hypercholesterolemia are risk factors for cholelithiasis.
- Refer the patient to a dietitian for diet counseling to promote healthy weight loss and reduce pain.
- A low-carbohydrate, low-fat, higher-protein diet reduces cholecystitis symptoms.
- Encourage moderate calorie reduction and increased activity for weight loss.
- Help the patient manage dietary restrictions.
- Administer vitamin supplements as ordered.
- Fat-soluble vitamin supplements may be required due to impaired fat absorption.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers essential practices for T-tube care and dietary recommendations for patients with gallbladder disease. It includes monitoring drainage, skin care, and patient education on tube management. Understanding these concepts is crucial for both patient safety and effective treatment outcomes.
