Hiatal Hernia/Dumping Syndrome

Question 1

Both are what type of problem?

Answer 1

Gastric emptying problems
-they are opposites to each other

Question 2

Hiatal Hernia

Answer 2

Gastric acid goes WRONG direction (esophagus), CORRECT rate
-dependent upon position & meal time (lying down after eating)

Question 3

Hiatal Hernia S/sx

Answer 3

Similar to GERD
-heartburn & indigestion when lying down after meal

Question 4

Hiatal Hernia Tx

Answer 4

High-atal hernia - everything High but protein
-elevate HOB during & 1 hr post meal
-increase fluids with meals
-increase carbs (they cause the stomach to empty quickly so content doesnt back up)

Question 5

Dumping Syndrome

Answer 5

gastric contents go CORRECT direction (duodenum) but at the WRONG rate (too fast)
-decreased blood flow from brain, it all goes to the gut

Question 6

Dumping syndrome s/sx

Answer 6

Drunk + Shock + Acute abdominal distress
-drunk: staggering, liable
-shock: cold clammy tachy pale
-acute ab distress: borborygmi, n/v/d, cramps, guarding, distension,bloating

Question 7

Dumping Tx

Answer 7

Dump it & Drop it, everything low but protein
Goal is to empty stomach slower
-drop HOB during/after meal (pt turns on side to eat)
-drop fluids ONLY before/after meals NOT during
-drop the carb out the diet