Chapter 23: Meckel's Diverticulum
Laboratory Tests
CBC
Meckel's Diverticulum
Complication resulting from failure of omphalomesentric duct to fuse during embryonic development
Nursing Care
prepare for surgery using developmentally appropriate techniques
Therapeutic Procedures
surgical removal of diverticulum
Diagnostic Procedures
Radionucleotide scan
Complications
-GI hemorrhage & bowel obstruction (for untreated Meckel's diverticulum)
Postoperative
-assess respiratory status & maintain airway -oxygen PRN -vital signs -analgesics PRN -assess surgical site for bleeding/abnormalities -assess bowel sounds/bowel functions -administer IV fluids -maintain NPO status -maintain NG to low continuous suction
Subjective/Objective Data
-can be asymptomatic -abdominal pain -bloody, mucus stools
Preoperative
-provide blood transfusions to correct hypovolemia -administer fluid and electrolyte replacement as prescribed -provide oxygen as prescribed -administer IV antibiotics -MAINTAIN BEDREST -closely monitor blood loss in stools