Surgical removal of the stomach

Tamika Perry, a patient of Dr. Kowalski, had a gastrectomy (surgical removal of the stomach). A nasogastric (NG) tube is in place to drain all fluids. It is connected to suction and irrigated at times. An intrave- nous (IV) solution is providing liquid intake.

Oral intake is limited to sips of ginger ale or water and ice cubes. a. NG tube was irrigated with normal saline (NS) as follows: 7 AM 10 mL . 9 PM 25 mL with 10 mL withdrawn 11 AM 10 mL 1 AM 10 mL 4 PM 10 mL 4 AM 20 mL with 5 mL withdrawn

b. IV was absorbed as follows: 12 Noon 400 mL 10 PM 200 mL 2 PM 150 mL 3 AM 400 mL 8 PM 500 mL 6 AM 200 mL c. Urine output was as follows: 9 AM 400 mL 9 PM 550 mL 1 PM 250 mL 1 AM 400 mL 5 PM 375 mL 5 AM 200 mL d.

The patient had greenish liquid stool as follows: 11 AM 300 mL 5 PM 200 mL 3 AM 750 mL e. The NG tube suction jar was emptied on each shift. Measurements were as follows: 2 PM 780 mL greenish liquid 10 PM 550 mL golden-brown liquid 6 AM 625 ml golden-brown liquid