Medical Surgical Dumping syndrome #2

Question

A client is experiencing dumping syndrome following a gastrectomy. Which is a concern associated with dumping syndrome?

Answers

  1. Dehydration
    • Rationale:

      This answer is correct because the primary concern for a client experiencing dumping syndrome is dehydration from the severe diarrhea. Other symptoms related to dehydration are hypotension and tachycardia. The client should be monitored for other symptoms of dehydration and hypovolemic shock.

  2. Hyperglycemia
    • Rationale:

      This answer is not correct because hyperglycemia does not occur related to dumping syndrome. Hypoglycemia can occur related to late dumping syndrome since this syndrome is generally caused by increased insulin secretion. This client likely has early dumping syndrome since this occurs related to removal of the stomach and/or esophagus.

  3. Crackles in lungs
    • Rationale:

      This answer is not correct because crackles are not usually found for dumping syndrome after a gastrectomy. Crackles would indicate excessive fluid in the bloodstream but generally does not occur in this situation. The primary concern for a client experiencing dumping syndrome is dehydration from the severe diarrhea.

  4. Increased nutrition
    • Rationale:

      This answer is not correct because decreased nutrition (not increased) is a concern for dumping syndrome, but is not priority over dehydration. It is a concern that needs to be addressed soon but not immediately, like dehydration. The primary concern for a client experiencing dumping syndrome is dehydration from the severe diarrhea.

Overview

The primary concern for a client experiencing dumping syndrome is dehydration from the severe diarrhea. Dehydration can occur when the body does not have enough fluids to keep it properly functioning.

Explanation

Learning Outcomes

Dumping syndrome is rapid gastric emptying. Dumping syndrome occurs as food moves too fast from the stomach to the duodenum of the small intestines, causing symptoms such as nausea, lightheadedness, and diarrhea. The primary concern is dehydration from diarrhea. These symptoms generally occur within about 30 minutes after eating a meal (early dumping syndrome) but can occur as late as 1 to 3 hours after eating (late dumping syndrome). Early dumping syndrome is most commonly a result of surgery on the esophagus or stomach. Late dumping syndrome is commonly caused by excessive insulin release, which can result in hypoglycemia. Generally it is diagnosed based on symptoms and medical history.

Test Taking Tip

Refer to the ABCs to prioritize care for this client. Dehydration affects circulation so it is primary or priority.

Video Rationale