Lesson 1Follow-up plan, recheck for full choice surgery if needed, and records for out-patient passThis part tells how to plan follow-up after ulcer surgery, recheck need for full choice acts, and make clear records and leave sums supporting safe out-patient care link.
Scheduling early and long-term surgical follow-upCriteria for considering definitive elective surgeryKey elements of a safe discharge summaryCommunication with primary care and gastroenterologyPatient education for warning signs after dischargeLesson 2Food and move: no-food time, nose-gut tube signs, time for gut feedThis part handles after-surgery food and move, like no-food time, nose-gut tube signs, time and way for gut feed, and plans pushing early walk and better get well.
Criteria to discontinue nasogastric decompressionAssessing readiness to start oral intakeStepwise advancement of postoperative dietEnteral versus parenteral nutrition decisionsEarly mobilization and physiotherapy protocolsLesson 3Find and handle late issues: leak path, stick block, repeat ulcerThis part checks late after-surgery issues after ulcer act, like leak path, stick block, and repeat ulcer, stressing clinic find, check work, and step med, scope, or surgery handle.
Clinical features of postoperative enterocutaneous fistulaEvaluation and imaging of adhesive small bowel obstructionManagement of chronic fistula output and nutritionDiagnosis of recurrent ulceration after surgeryEndoscopic and surgical options for recurrent ulcersLesson 4Pain plans with mixed ways and less-opioid picksThis part shows mixed after-surgery pain plans, stressing area ways, non-opioid adds, less-opioid sets, watch for side, and fit pain hold to better get well and move.
Pain assessment scales and documentationUse of acetaminophen and NSAIDs safelyRegional blocks and epidural analgesia optionsAdjuvant agents such as gabapentinoidsDesigning opioid-sparing analgesia protocolsLesson 5Right-after watch in recovery/care unit: measures, how often, and up signsThis part sets clear watch in recovery and care unit after ulcer act, setting life measures, pain and calm check, watch how often, and clear up signs, fast help call, or move to more care.
Standard PACU monitoring set and documentationHemodynamic and urine output targets after surgeryRespiratory monitoring and pulse oximetry strategyPain, sedation, and delirium assessment toolsEscalation triggers and rapid response activationLesson 6Early after checks: labs, X-rays, CT signs for doubt leak or pus pocketThis part tells when and how to use labs, X-rays, and CT after ulcer act to find leaks or pus early, read key finds, and pick right up, drain, or re-act plans.
Baseline and serial postoperative laboratory panelsUse of plain radiographs and contrast swallow studiesCT indications for suspected leak or abscessImaging signs of anastomotic leak and collectionsAlgorithm for escalating from labs to advanced imagingLesson 7Infection stop and drug wise use: time, step-down on samplesThis part checks infection stop and drug wise after ulcer act, covering around-act stop time, sample-lead step-down, watch for no-work, and plans to limit fight-back and gut germ.
Appropriate duration of surgical prophylaxisEmpiric therapy for suspected intra-abdominal sepsisCulture collection and interpretation principlesAntibiotic de-escalation and stop criteriaMonitoring for C. difficile and resistant organismsLesson 8Clot stop, sugar hold, and wound care best waysThis part tells best ways for clot stop, sugar hold, and wound care after ulcer act, like risk level, drug and machine steps, sugar aims, and plans to stop wound germ.
VTE risk assessment and prophylaxis selectionTiming and dosing of pharmacologic anticoagulationMechanical prophylaxis and mobilization protocolsPerioperative glycemic targets and insulin regimensWound dressing choices and infection preventionLesson 9Find and handle early issues: leak, belly pus, infection, breath issuesThis part covers find and handle early issues like join leak, belly pus, infection, and breath events, stressing early danger signs, check paths, revival, and time source hold.
Clinical red flags for anastomotic leakSepsis bundles and hemodynamic resuscitationDiagnosis and drainage of intra-abdominal abscessPrevention and treatment of postoperative pneumoniaCriteria for reoperation versus percutaneous drainageLesson 10Long-time med handle of stomach ulcer illness: H. pylori check and clear, PPI treatment, pain drug dodge, smoke and drink talkThis part stresses long-time med handle of stomach ulcer illness, like H. pylori check and clear, PPI plans, pain drug risk cut, and talk on smoke, drink, and stick to treatment.
Indications and methods for H. pylori testingStandard and rescue H. pylori eradication regimensOptimizing PPI dosing and tapering strategiesManaging NSAID and antiplatelet exposureLifestyle counseling on smoking and alcohol
