Esophageal Cancer Flashcards
What populations are more likely to get Esophageal Cancer?
Age 70-84 years old
Men 3x > women
Blacks and Alaska Natives
What is a Hiatal Hernia?
Portion of the stomach is pushed through the hiatus, opening, of the diaphragm
What is a SLIDING Hiatal Hernia?
What is a ROLLING Hiatal Hernia?
Junction of the stomach and esophagus is ABOVE the diaphragm and part of the stomach Slides through the hiatal opening
The fundus and greater curvature of the stomach roll up through the diaphragm, FORMING A POCKET ALONGSIDE THE ESOPHAGUS
What is the most common type of hiatal hernia?
What is the type of hiatal hernia that is possibly asymptomatic?
What type of hiatal hernia is a medical emergency?
Sliding Hiatal Hernia
Sliding Hiatal Hernia
Rolling Hiatal Hernia
What are some dietary predisposing factors for esophageal cancer?L
Excessive Alcohol Use
Diet Low in Fruits and Vegetables (missing vitamins and minerals)
History of Swallowing Lye (Slavic Fish Delicacy)
What are predisposing factors for Esophageal Cancer that directly effects the lower esophagus?
Achalasia- LES (Lower Esophageal Sphincter) fails to open during swallowing, leads to backup of food in lower esophagus (delayed esophageal emptying)
History of GERD (Big Predictor)
Esposure to asbestos and metal
What are some key complications of esophageal cancer?
Hemorrhage due to erosion thru esophagus to aorta
Esophageal Perforation due to fistula formation into lung or trachea
Obstruction of esophagus
Mtastasis via lymph system
What are some general risks that are caused by POST OP esophageal cancer surgery?
Risk of Aspiration
Risk of Cardiac Dysrhythmias (geography of the surgery)
What should be done POST OP esophageal cancer surgery?
NG tube (don’t reposition, call doctor)
Fowlers or Semi-Fowler’s to preven Regurgitation of fluid and Reflux
What are some nutritional therapy care that should be done for a Post Op Esophageal Cancer Surgery?
Parenteral Fluids
After Bowel Sounds return, 30-60 ml of water given hourly
Gradual progression to small, frequent, BLAND meals
What are some warning signs of Esophageal Cancer during a subjective assessment?
Odynophagia- pain on swallowing food or fluids
Alcohol and Tobacco use
GERD, Barrett’s Esophagus Hiatal Hernia, ACHALASIA
What are some warning signs of Esophageal Cancer during an objective assessment?
Weight Loss
Regurgitation
What are some health promotion nursing implementation to prevent Esophageal Cancer?
Maintain good oral hygiene and diet
Monitor Barrett Esophagus
Elimination of Excessive Smoking and Alcohol
What nutritional intervention should the nurse do for a patient post op esophageal cancer surgery?
High Calorie and Protein Diet
