University of San Jose – Recoletos College of Nursing

Worksheet No. 1 NCM 106 lec

Name of Student: DOGUILES, Neil Elmo C. Block: 2

Gastric Cancer A. Predisposing Factors  Helicobacter pylori infection  Stomach lymphoma  Gender  Aging  Ethnicity  Geography  Diet  Tobacco use  Obesity  Previous stomach surgery  Pernicious anemia  Type A blood  Inherited cancer syndromes  A family history of stomach cancer

 Some types of stomach polyps  Epstein-Barr virus infection  Certain occupations B.  Surgical options include proximal or distal subtotal gastric resection. duodenum). Nursing Management Pre-operatively  Monitor vital signs . or palliative surgery such as subtotal gastrectomy with gastroenterostomy to maintain continuity of the GI tract. Surgical Management  The only successful treatment of gastric cancer is gastric resection. Assessment (Signs and Symptoms)  Fatigue  Anorexia and Weight loss  Nausea and Vomiting  Indigestion and epigastric discomfort  A sensation of pressure in the stomach  Dysphagia  Anemia  Ascites  Palpable mass C. postoperative staging is done and further treatment may be necessary. total gastrectomy (includes adjacent organs such as tail of pancreas. D.  Surgery may be combined with chemotherapy to provide palliation and prolong life. portion of liver. surgical removal of part of the stomach with involved lymph nodes.

bland. easily digestible meals with vitamin and mineral supplements  Administer pain medications as prescribed  Prepare the client for chemotherapy or radiation therapy as prescribed  Prepare the client for surgical resection of the tumor as prescribed E. we must be . as biological beings. That is why. Monitor hemoglobin and hematocrit and administer blood transfusion as prescribed  Monitor weight  Assess nutritional status. hypoglycemia. Nursing Management Post-operatively  Monitor vital signs  Place in fowler’s position for comfort  Monitor I & O. dumping syndrome. diarrhea. administer fluids and electrolyte replacement by IV as prescribed  Maintain NPO status as prescribed for 1 to 3 days until peristalsis returns  Monitor nasogastric (NG) suction  Do not irrigate or remove the NG tube. invasive treatments and having to deal with the span of life you have. encourage small. assist the physician with irrigation or removal  Assess bowel sounds  Advance the diet from NPO to sips of clear water to six small bland meals a day. and vitamin B12 deficiency F. The thought of being subjected to those signs and symptoms. Learning Insights It’s so hard to live having cancer. as prescribed  Monitor for complications of hemorrhage.

conscious with the way of life and go through what makes us happy and healthy and avoid things that could extinguish our lives in an early age. G.cancer. Reference/Source .

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