Amputation, GI, GU

http://www.lib.uiowa.edu/hardin/Md/dermnet/shingles6.html

Amputation• Medical Management or Surgery

– Arterial Insufficiency– Venous Insufficiency– BKA– AKA– Ankle and Foot Amputations

– U/E Amputations

• Course in hospital– Elective → OR → General Floor (Ortho or

MedSurg– Sidelying/prone stretching and good for

extensor strength• Precautions/Contraindications

– Universal Precautions– Ambutation at level of the foot: Weight

bearing status of foot (can they place weight through the heel

– Condition of non-surgical extremity

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Cholecystectomy (Choley)

• Medical Management or Surgery– Cholecystectomy

• Course in hospital– Elective → OR → 24

hour admit

• Precautions/Contraindications– Vital signs– Pain levels

Renal Failure• Medical Management or Surgery

– Acute (trauma, meds, infection) and Chronic (DM, HTN) Renal Failure • The kidneys play key roles in body function, not only by filtering the blood and getting

rid of waste products, but also by balancing levels of electrolytes (Na & K) in the body, controlling blood pressure, and stimulating the production of red blood cells.

• Pre-Renal: Decreased blood supply to the kidney, low blood volume, dehydration, diuretics

• Renal causes : Sepsis, UTI, Meds, Rhabdomyolysis, Myeloma, Glomerulonephritis• Post-Renal: Obstruction of the bladder or ureters, BPH, HTN, kidney stones

– Hemodialysis and Peritoneal Dialysis

• Course in hospital– Emergency → General Floor– Dialysis on any unit

• Precautions/Contraindications– BP issues: usually very low post dialysis– Usually no patient contact during dialysis