Done Upper Gastrointestinal Disorders (7) Flashcards
Client Teaching About Stomatitis
What after each meal?
Discourage use of?
Remove?
encourage?
Encourage what mouthwash?
Dietary choices?
Mouth care after each meal
Discourage use of alcohol-containing mouthwash
Remove dentures (If experience pain because can cause more ulcers in mouth)
Encourage regular dental check ups
Encourage saline mouth rinse every 4 hours
*Dietary choices
AVOID HOT SPICY FOODS
ACIDIC AND SALTY FOODS
FOODS WITH SHARP EDGES
Client Teaching for GERD
Limit what foods?
Foods that decrease LES pressure?
Avoid?
Eat meals when?
Envourage?
Do not take?
Limit irritating foods (Tomato-based products, orange juice, cola, red wine)
Limit foods that decrease LES pressure (Chocolate, peppermint, fatty foods, coffee, tea)
Avoid milk and eating before bedtime
Eat meals 2 hours before laying supine
Encourage small meals and fluids between meals
DO NOT take antacids ATC
Sleep Position for GERD
Lay patient on what side?
Elevate head of bead to what?
Position the patient on the right side
Elevate HOB to 6-12 inches
Lying on the RIGHT side promotes gastric emptying.
elevating the HOB promotes peristalsis and uses gravity to return gastric refluxate from the esophagus to the stomach.
Sleeping in this position also decreases reflux at night
Risk factors for Peptic Ulcer Disease
duodenal
H. pylori
NSAIDS
Bile reflux
Lifestyle factors
-Alcohol use
-Smoking
-Coffee
-Psychologic distress and depression can delay healing of present ulcers
Caring for a Client with PUD: Diagnostics
Most accurate way to diagnose H pylori?
Other tests? 3
Direct visualization; most accurate
Upper GI Endoscopy
Urea breath test
Stool test
Caring for a Client with PUD: treatment
Antacids
Antibiotics and PPI to eliminate H. pylori
Cytoprotective drug therapy: sucralfate
Surgical Management
-Indicated with non healing and bleeding ulcers
-Endoscopic procedures
(cut vagus nerve and have less stomach acid in duodenum)
Peptic Ulcer Disease
Emergency?
3 major complications of PUD?
Most common gi bleeding where?
Emergency situation with surgical intervention most common and most lethal?
PERFORATION AND RIGID ABDOMEN
Bleeding
perforation
Gastric outlet obstruction
Most common: GI bleeding; duodenal
Most lethal - Perforation
-GI contents spill into peritoneal cavity
-Sudden, severe upper abdominal pain radiates to back and shoulders; no relief with food or antacids;abdomen rigid/boardlike;
Acute and Chronic: Reducing Manifestations of Gastritis
How many meals a day?
Altered what?
ALTERED NUTRITION, ALTERED BODY IMAGE.!!!!!!!!!
No smoking, alcohol or drugs
6 small meals/day; non irritating food
