Medical Surgical Dumping syndrome #3

Question

A client is experiencing severe dumping syndrome and seeks medical treatment in the emergency department. Which symptom(s) is/are expected from this client? Select all that apply.

Answers

  1. Hyperkalemia
    • Rationale:

      This answer is not correct because hyperkalemia is not expected with dumping syndrome. Excessive diarrhea could cause hypokalemia so the client’s electrolytes should be monitored.

  2. Dehydration
    • Rationale:

      This answer is correct because dehydration is the primary concern with dumping syndrome. Fluids should be encouraged or if needed, IV fluids administered.

  3. Hypertension
    • Rationale:

      This answer is not correct because hypotension, not hypertension is an expected finding with dumping syndrome. This is directly related to the dehydration associated with dumping syndrome. Tachycardia will tend to occur with hypertension.

  4. Tachycardia
    • Rationale:

      This answer is correct because tachycardia is an expected finding with dumping syndrome. This is directly related to the dehydration associated with dumping syndrome. Hypotension can also occur related to dehydration.

  5. Bloody stools
    • Rationale:

      This answer is not correct because bloody stools are not related to dumping syndrome. Bloody stools generally are associated with ulcerative colitis, crohn’s disease, bleeding peptic ulcers, and cancer.

Overview

Symptoms expected with a client with severe dumping syndrome are dehydration, hypotension, and tachycardia. These symptoms are directly related to dehydration.

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

It is important to understand the symptoms of dumping syndrome and the symptoms associated with dehydration.

Video Rationale