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20 Cards in this Set
- Front
- Back
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Client is experiencing dysphasia with both liquids and solids, This is the most common symptom for what disease?
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Achalasia.
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What are other symptoms of Achalasia?
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Substernal chest pain
Halitosis Inability to belch (eructate) Regurgitation of sour foods Weight loss |
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Nursing diagnosis for achalasia
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Impaired swallowing
Imbalanced nutrition Risk for aspiration Disturbed body image |
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Nursing interventions for achalasia
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Educate the patient to chew well, chin to chest, rub throat as they swallow
Eat slowly, semi soft diet, sleep with head elevated Take smooth muscle relaxants (nitrates and calcium channel blockers like Procardia |
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Surgical intervention for achalasia
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Endoscopic pneumatic dilation
Heller myotomy botox injection into lower esophageal sphincter |
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Client has not had any symptoms in the past but is now experiencing heartburn and severe burning when bending over, what might the client have?
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Hiatal Hernia
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Other symptoms for Hiatal Hernia
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Asymptomatic
Reflux Heartburn Discomfort when bending over Nocturnal symptoms Symptoms of gallbladder disease. |
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Nursing Diagnosis for Hiatal Hernia
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Pain
Disturbed sleep |
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What are some diagnostic test for a Hiatal Hernia?
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Barium swallow
Endoscopic visualization with biopsy Radionuclide study |
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Hiatal hernia surgical interventions
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Hernitomy
Herniorraphy: close the defect up Nissen Toupet: cunt the funduc and wrap around the esophagus |
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Medications for Hiatal Hernia
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H2 receptor blockers
PPI’s Antacids |
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This client is experiencing Pyrosis (heartburn) Dyspepsia (pain centered in the upper abdomen), non cardiac chest pain and has a lump in their throat, what might the client syndrome might the client have?
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GERD
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What are the clinical manifestations of GERD
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Pyrosis
Dyspepsia Hypersalivation Non cardiac chest pain Respiratory symptoms Lump in the throat Regurgitation |
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What are the complications of GERD?
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Gastric acid on the esophageal mucosa
Esophagitis Esophageal strictures (scar tissue) Barretts esophagus (pre cancer lesion) |
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What are some GERD diagnostic studies?
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Barium Swallow
Endoscopy (LES inflammation) Biopsy Manometric studies (check pressure in esophagus) |
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GERD management
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Bland diet avoid spicy foods
Decrease high fat foods Increase protein intake Fluids in between meals No lying down until 2-3 hours after a meal Avoid meals before bed Elevate head of bed Small frequent meals Avoid alcohol and smoking Don’t drink milk at night |
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GERD surgical therapy
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Nissen Fundoplication: fundus of stomach wrapped around distal esophagus
Endoscopic therapy Stretta: forms collagen through radio frequency |
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GERD medications
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H2 receptor blocker (pepcid, tagament, zantac)
PPI proton pump inhibitor (Prilosec, nexium, prevacid) Antacids: Malox, Mylanta Cerafate (acid protective) Reglan (promotility) |
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The client is experiencing anorexia, nausea&vomiting, epigastric tenderness and feelings of fullness. What might the client have?
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Gastritis
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This is the main cause of gastritis.
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Helicobacter pylori
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