This topic contains a solution. Click here to go to the answer

Author Question: Mr. Seyer had a partial glossectomy and right neck dissection on 9/7 . Describe these surgical ... (Read 18 times)

D2AR0N

  • Hero Member
  • *****
  • Posts: 561
Mr. Seyer had a partial glossectomy and right neck dissection on 9/7 . Describe these surgical procedures. How may these procedures affect him nutritionally?
 
  What will be an ideal response?

Question 2

Determine Mr. Mahon's fluid requirements. Compare this with the information on the intake/output record.
 
  What will be an ideal response?



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

KKcool

  • Sr. Member
  • ****
  • Posts: 340
Answer to Question 1

 Partial glossectomy:
- This is the removal of part of the tongue and then sewing the remaining portion back together or using a small skin graft to cover the resected area (which is then sewn into place). During this procedure, a tracheotomy is used to facilitate breathing during the procedure.
 Right neck dissection:
- This involves an incision into the neck to remove the lymph nodes containing cancer cells. Special care must be taken in order to avoid important blood vessels and nerves.
 Nutritional concerns:
- Mr. Seyer will not be able to swallow until cleared by the SLP and will need nutritional support
- May incur issues with pain, altered tastes, difficulty chewing and swallowing, dyspnea, and nausea/vomiting which all may lead to lower oral intake and diminished appetite.

Answer to Question 2

Fluid requirements: around 2400-2700mL/d (1 mL/kcal; rounded)
Or 35-40 mL/kg: 2736-3127 mL/d (or 2700-3100 mL/day)

Currently receiving: 4500 mL (total intake)  4879 mL (total output), indicating adequate renal function at this time to handle the fluid load.




KKcool

  • Sr. Member
  • ****
  • Posts: 340

 

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

For a complete list of videos, visit our video library