HIATAL HERNIA Flashcards
Hiatal Hernia is AKA
Diaphragmatic Hernia
Protrusion of esophagogastric junction into the thoracic cavity back into the abdominal cavity
Sliding Hiatal Hernia
Protrusion of fundus of stomach even the greater curvature of the stomach into the thoracic cavity
Rolling Hiatal Hernia or Paraesophageal Hernia
Factors of Hernia (HOTPATS)
- Heavy Lifting
- Obesity
- Tumors
- Pregnancy
- Ascites
- Trauma
- Surgery
Assessment Hernia (HeNDyDyFeFlaBO)
- Heartburn
- Nausea/Vomiting
- Dysphagia
- Dyspnea
- Feeling of Fullness
- Flatulence
- Belching/Indigestion
- Odynophagia
Diet for Hiatal hernia
High protein diet (initial days: bland diet)
How should client be fed to prevent gastric distention?
Small frequent feedings
To reduce gastric motility, how should the client eat?
Eat slowly and chew food properly
Avoid foods and beverages like?
fatty foods
cola beverages
coffee
tea
chocolate
alcohol
Position before and after eating for 1-2 hours
upright position
Avoid eating at least ____ hours before bedtime
3 hours
Elevate HOB for?
6-8 inches
Surgery of choice
Nissen fundoplication
Nursing Management
- High protein diet (initial days: bland diet)
Enhances LES sphincter – contracts - Small frequent feedings
To prevent gastric distention (increases intraabdominal pressure) - Instruct to eat slowly and chew food properly
To reduce gastric motility - Avoid foods and beverages like fatty foods, cola beverages, coffee, tea, chocolate, alcohol
- Should assume upright position before and after eating for 1-2 hours
- Avoid eating at least 3 hours before bedtime
- Avoid evening snacks
- Advise to reduce body weight if obese
Increase intraabdominal pressure - Advise to promote lifestyle changes
Elevate head of bed 6-8 inches for sleep
Avoid use of constrictive clothing, straining at stool, heavy lifting, bending, stooping, vigorous coughing
Avoid cigarette smoking - Surgery of choice: Nissen fundoplication
Medication to relieve heartburns
Antacids
