HIATAL HERNIA

Question 1

Part of your stomach pushes up through the opening (hiatus) into your chest and is next to your esophagus. Less common, more serious.

Answer 1

Paraoesophageal

Question 2

Part of the stomach and the place where the stomach and esophagus meet slide up into the chest through the opening (hiatus). More common, less serious.

Answer 2

Sliding hernia

Question 3

What causes hiatal hernia?

Answer 3

Weakness of diaphragmatic muscle

Question 4

S/Sx of sliding hernia

Answer 4

-Heartburn / chest pain
-Regurgitation
-Dysphagia
-Belching (burping)

Question 5

S/Sx of Paraoesophageal

Answer 5

-Feeling full after eating
-Breathlessness after eating
-Feeling of suffocation
-Chest pain that mimics angina
-Worsening of manifestations in a recumbent position

Question 6

Meds for hiatal hernia

Answer 6

PPIs & antacids

Question 7

Complications of hiatal hernia

Answer 7

-Volvulus
-Obstruction
-Strangulation- hernia is trapped and blood flow is restricted
-Iron deficiency anemia

Question 8

What is a volvulus?

Answer 8

Loop of intestine wraps around itself. Causes abd distention & pain, bloody stools

Question 9

Nursing safety priorities

Answer 9

-Most important role is health teaching
-Avoid eating late at night and foods that cause reflux.
-Sleep at night with head elevated 6 inches
-Remain upright for several hours after eating
-Avoid straining or excessive vigorous exercise
-Refrain from wearing tight clothing around the abdomen.