Copyright
©The Author(s) 2015.
World J Gastroenterol. Dec 28, 2015; 21(48): 13507-13517
Published online Dec 28, 2015. doi: 10.3748/wjg.v21.i48.13507
Published online Dec 28, 2015. doi: 10.3748/wjg.v21.i48.13507
Activities date | 1 d before OP (Admission) | Pre-OP (the day of OP) | Operation(the day of OP) | Post-OP(the day of OP) | POD 1 | POD 2 | POD 3 | POD 4 | POD 5 and 6 (D/C) |
Nursing care | Admission to room: (1-3 pm)Fluid balanceSurveillance V/SWeight measurement | Room nurse:Fluid balance,Check V/S | Surgical nurse:OP preparation | Room nurse:Fluid balanceCheck V/S,drainage | Room nurse:Fluid balanceCheck V/S,drainage | Room nurse:Fluid balanceCheck V/S,drainage | Room nurse: Fluid balance, Check V/S, Drainage | Room nurse:Check V/S | Room nurse:Check V/S |
Check (Surgeon/anesthesiologist): Preoperative study Written consentProtocol for OP preparation | Remove peripheral line after start of 2nd SD | ||||||||
Activity | Usual | Bed rest | Bed rest | Bed rest | Ambulation | Ambulation | Ambulation | Ambulation | Ambulation |
Treatment procedure | Skin preparation No Levin tube Breathing exercises use of IS Bowel preparation: Magcorol solution, 250 mL: Dulcolax supplement, 2 sup | Surgical nurse:Foley catheterInsertion | Breathingexercises: use of IS | Breathing exercises: use of IS | Breathing exercises: use of IS | Breathing exercises: use of ISremove JP | Surgeon:Wound S/OEvaluation on D/C criteria | ||
Surgeons: OP | Anesthesiologist:PCA (Fentanyl 3000 mg) | ||||||||
Medication | Prophylaxis: TE | Prophylaxis: ATB | Prophylaxis: ATBMucolytic agent | Prophylaxis: TE | |||||
Anesthesiologist: PCA | PCA | PCA | |||||||
Medication on demand | Pain killer: (IV) Demerol NSAIDs Antiemetics | Pain killer: (IV)Demerol NSAIDs Antiemetics | Pain killer: (IV)Demerol NSAIDs Antiemetics | Pain killer: (IV)Demerol NSAIDs Antiemetics | Pain killer: (Oral) NSAIDs | Pain killer: (Oral) NSAIDs | |||
Laboratory test | Laboratorytest | Laboratory test | Laboratorytest | Laboratorytest | |||||
Diet | Usual diet at breakfastNPO after breakfast | NPO | NPO | NPO | SOW: post 24 h OP | LD at breakfastSD after G/O | SD | SD | |
Education and information | Information on CPPermission | Information on leaving OP room | Education: diet for patient and/or relative | Education: diet for patient and/or relative | Information on D/C |
- Citation: Kim HS, Kim SO, Kim BS. Use of a clinical pathway in laparoscopic gastrectomy for gastric cancer. World J Gastroenterol 2015; 21(48): 13507-13517
- URL: https://www.wjgnet.com/1007-9327/full/v21/i48/13507.htm
- DOI: https://dx.doi.org/10.3748/wjg.v21.i48.13507