CT scan, bone scan and liver scan to determine extent of metastasis.
Complete radiographic examination of the gastrointestinal tract if dyspepsia of more than 4 weeks’ duration in any person older than 40 years of age.
Removal of gastric carcinoma; curative if tumor can be removed while stilllocalized to the stomach.
Effective palliation (to prevent symptoms such as obstruction) by resection of thetumor; radical subtotal gastrectomy; total gastrectomy with anastomosis of theesophagus and jejunum
Nursing InterventionsReducing anxiety
Provide relaxed, nonthreatening atmosphere
Advise about any procedure and treatment
Suggest patient to discuss feelings
Promoting optimal nutrition
Encourage small, frequent feedings of non irritating foods to decrease gastricirritation
Ensure that food supplements are high in calories and vitamins A and C and iron.
Administer parenteral vitamin B
indefinitely if total gastrectomy is performed
Monitor rate and frequency of IV
Record intake and output, amd daily weights
Administer antiemetics as prescribed
Administer analgesics as prescribed
Assess frequency, intensity and duration of pain to determine effectiveness of analgesic agent
Suggest non pharmacologic methods for pain relief (eg imagery, distraction,relaxation tapes, back rubs and massage)
Encourage periods of rest and relaxation.