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24 Cards in this Set
- Front
- Back
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The most important role of the nurse is patient and family ? when it comes to GERD.
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education
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A very small percentage of patients with GERD require antireflux ?.
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surgery
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A newer drug, omeprazole/sodium bicarbonate (?), is the first immediate-release drug and is designed for ? use.
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(zegerid),
short-term |
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Another newer drug, dexlansoprazole (?), is a dual-release (delayed release) drug that is available in several dosages, but tends to be associated with more side and adverse effects than some of the other drugs.
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(Kapidex) rhymes with side effects
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With GERD the pt should avoid the S.H.I.T.A food plus the F.C.C.C.S. foods
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Spicy, Hot, Icy, Tobacco, Alcohol
Fatty, Chocolate, Coffee, Citrus juices, Salicylates |
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The most accurate method of Dx GERD is the 24hr ambulatory esophages ? monitoring.
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pH
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? is the gold standard for pts needing surgery for GERD
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LNF- Laparoscopic Nissen Fundoplication
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Hiatal hernias, also called ? hernias, involve the protrusion of a portion of the stomach through the esophageal hiatus of the diaphragm into the chest.
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diaphragmatic
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Most patients with hiatal hernias are ?, but some may have daily symptoms similar to those with GERD.
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asymptomatic
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Patients with hiatal hernias may be managed either medically or surgically based on the ? of symptoms and the risk of serious complications.
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severity
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The primary focus of care after conventional surgery is the prevention of ? complications. The most important role of the nurse in caring for a pt with a hiatal hernia is ?
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respiratory,
health teaching |
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Although esophageal tumors can be benign, they are most often ?
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malignant
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Esophageal tumors grow rapidly because there is no ? layer to limit their extension and the spread to the lymph ? occurs early.
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serosal,
nodes |
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The diagnosis of esophageal cancer causes high patient ?, as it is accompanied by distressing symptoms and is often ?.
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anxiety,
terminal |
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? care is the highest postoperative priority for patients having an esophagectomy.
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Respiratory
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Before beginning oral feedings postoperatively after a esophagectomy, a ?-esophagram study is performed to detect the presence of anastomotic ?, strictures, or signs of ?.
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cine-esophagram,
leaks, aspiration |
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After esophagectomy teach the patient and family members to report the presence of ? and a swollen, painful ? incision, which could indicate an anastomotic leak.
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fever,
neck |
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Esophagus diverticula are caused by esophageal ? from congenital ?, esophageal ?, ? tissue, or inflammation.
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weakness,
defects, trauma, scar |
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? are sacs that may develop anywhere along the length of the esophagus, resulting from the herniation of esophageal mucosa and submucosa into surrounding tissue.
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Diverticula
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? diverticula is the most common form and occurs most often in older adults.
• Patients complain of dysphagia, regurgitation, nocturnal cough, and halitosis, and may be at risk for perforation because the mucosa is without the protection of the normal esophageal muscle layer. |
Zenker's
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Diverticula are Dx'd by ? swallow and ? may be contraindicated due to risk of perforation.
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barrium,
endoscopy |
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In the ? procedure which is a non-surgical procedure for GERD the physician applies RF energy through the endoscope using needles placed near the gastroesphageal juncition which decrease ? nerve activity.
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Stretta,
vagus |
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In the ? procedure the physician uses sutures to tighten the LES.
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gastroplication
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A very small % of people with GERD require ?
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surgery
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