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