Power Point A Flashcards
what disease has this Assessment and analysis
Clinical manifestations depend on severity of diarrhea and dehydration
Gastroenteritis
what disease has these medications?
Histamine receptor antagonists
Prokinetic medications
Proton pump inhibitors
GERD
what disease has this Diagnosis
Upper G I endoscopy
PUD
what disease has these clinical manifestations?
Epigastric pain
Nausea and vomiting
Decreased appetite
Changes in color of stool
gastritis
what disease has this Nursing diagnoses
Acute pain
Diarrhea
Dysfunctional gastric motility
Gastroenteritis
what disease has these assesments?
Respiratory symptoms Regurgitation Severe atypical chest pain Hemorrhage C B C Dyspepsia Dysphagia Signs of Barrett’s esophagus Dental caries Water brash Eructation, flatulence, or bloating Nausea Globus pH of gastric aspirate
GERD
what disease has these teachings?
Limit irritating foods Avoid smoking and alcohol Eat meals 2 hours before laying supine Wear nonrestrictive clothing Maintain ideal body weight
GERD
what disease has this
Nursing Management – Nursing diagnoses
Acute or chronic pain
Deficient knowledge
Risk for deficient fluid volume
PUD
what disease has this Manifestations
Depends on ulcer location and patient age
Pain triggered or worsened by eating
PUD
what disease has these Nursing Interventions –
Actions Maintain IV infusions Administer medications as ordered Assist with gastric lavage Prepare patient for endoscopy Limit food intake after evening meal Document and report clinical manifestations Pain
PUD
what disease has this treatment?
Supportive treatment
Rehydration
Gastroenteritis
what disease has these
Complications
G I hemorrhage Abdominal or intestinal infarction Perforation and penetration into attached structures Obstruction Peritonitis
PUD
what disease has this nursing diagnosis?
Acute pain
Anxiety
Deficient knowledge
Risk for deficient fluid volume
gastritis
what disease has this Medical Managment Diasnosis?
Esophagogastroduodenoscopy
twenty-four-hour ambulatory esophageal pH monitoring
Esophageal manometry
GERD
what disease has these interventions?
Administer medications as ordered
Position patient on right side with HOB elevated 6–12 inches
Provide small, frequent meals
GERD
what disease has these actions?
Administer IV fluids
Administer medications as ordered
gastritis
what disease is cause by chronic stress to stomach lining
Chronic ingestion of irritating foods
Pathogens
Overuse of aspirin or N S A I D’s
Stress
gastritis
what is this system called?
Titanium beads with a magnetic core strung together and implanted laparoscopically into LES
Under resting, nonswallowing conditions, the ring tightens
When individual swallows, the ring opens
LINX Reflux Management System
GERD
what disease has this surgical management?
Vagotomy
Gastretctomy
gastritis
what disease has this Medical Management – Diagnosis
Biopsy
Upper G I x-ray series
Urea breath testing
gastritis
what disease has Damage to gastric mucosa
Erosions due to corrosive action of gastric juice
PUD
what disease has these Manifestations
Diarrhea Nausea Vomiting Anorexia Abdominal distention Poor skin turgor Dehydration Hyperactive bowel sounds Decreased blood pressure Dry mucous membranes
Gastroenteritis
what disease has this diagnosis?
stool culture
Gastroenteritis
what disease has this Teaching
Include patient’s caregiver Dietary modifications Preventative measures Proper food preparation Preventative measures
Gastroenteritis
what disease is caused by Prolonged irritation of the stomach
gastritis
what disease has this Surgical Management
Indicated with nonhealing and bleeding ulcers
Endoscopic procedures
PUD
what disease has these Assessments
Vital signs History of presenting signs and symptoms Laboratory assessment Serum electrolytes Intake and output
gastritis
what disease has this nursing diagnoses?
Acute/chronic pain
Risk for aspiration
Impaired swallowing
Imbalanced nutrition, less than body requirements
GERD
what disease has these
Nursing Management – Assessment and analysis
Comprehensive physical exam and rule out of other causes of signs and symptoms
PUD
what disease has this as a medication?
antacids
PUD
what disease has these nursing intervention assessment?
Vital signs Gastric pH Use of alcohol or other medications Serum electrolytes Pain Diet CBC Blood culture Weight
PUD
what are these therapies called?
Endoscopic mucosal resection
Photodynamic therapy
Cryotherapy
Radiofrequency ablation
endoscopic therapy
what disease has this outcome
Absence of diarrhea, nausea, and vomiting
Gastroenteritis
what disease has this
Assessment and analysis
Epigastric pain Nausea and vomiting Decreased appetite Weight loss Changes in color of stool
gastritis
what disease has this treatment?
Supportive care for relieving clinical manifestations
Reducing cause of discomfort
gastritis
what disease has a Retrograde flow of G I contents into esophagus causing inflammation
GERD
what disease has this Assessment and analysis
Clinical manifestations are due to the irritation from gastric material in the esophagus
GERD
what disease has this Assessments
Abdominal distention Bowel sounds Serum electrolytes Intake and output Perineal skin status Skin and mucous membranes Pain level
Gastroenteritis
what disease has these outcomes
Increased comfort
Pain control
Tolerates diet
PUD
what disease is Caused by ingestion of virus, bacteria, or parasite
Gastroenteritis
what kind of complication is this?
Replacement of normal squamous epithelium with columnar epithelium
Precancerous lesion
Thought to be primarily due to GERD
Strictures
Barrett’s epithelium
what disease has these teachings?
Immediately report hematemesis
Take medications as prescribed
Avoid irritants associated with gastric episodes
gastritis
what disease has
Increased luminal fluid that can not be absorbed
Depletion of intracellular fluid
Dehydration and electrolyte loss
Gastroenteritis
what surgical management does GERD have?
Laparoscopic Nissen fundoplication
what disease has these nursing intervention teaching?
Take medications as prescribed
Avoid eating within 2 hours of bedtime
Advise patients to avoid risk factors
PUD
what disease has these risk factors?
L E S hypotension Loss of esophageal motility Increased compliance of the hiatal canal Increased states of gastric secretion Eating large meals Delayed emptying of gastric contents Obesity Pregnancy Ascites Tight belts or girdles Presence of a nasogastric tube
GERD
what disease has this as Risk Factors
Residing in Western countries
Obesity
Pregnancy
Smoking
Hiatal Hernia
what disease has this Pathophysiology
Portion of the stomach protrudes upward through esophageal hiatus
Hiatal Hernia
what disease has this Medical Management – Diagnosis
Upper abdominal x-ray
Endoscopy
Barium swallow with fluoroscopy
Esophagogastroduodenoscopy
Hiatal Hernia
what disease has this Medical Management – Medications
Antacids
Proton pump inhibitors
H2-receptor antagonists
Complimentary medicine
Hiatal Hernia
what disease has this Surgical Management
Hernia repair
Hiatal Hernia
what disease has these Complications
Gastroesophageal reflux
Supradiaphragmatic volvulus
Hiatal Hernia
what disease has these Nursing Management – Assessment and analysis
Lifestyle changes can help reduce clinical manifestations. Hiatal hernia may be an incidental finding
Hiatal Hernia
what disease has this Nursing Management – Nursing diagnoses
Impaired swallowing
Anxiety
Pain
Knowledge deficit
Hiatal Hernia
what disease has this as Nursing Interventions – Assessments
Dysphagia
Clinical manifestations of G E R D
Nausea and vomiting
Iron-deficiency anemia
Hiatal Hernia
what disease has this as Nursing Interventions – Actions
Medication management
Position patient supine on right side
Elevate H O B after meals
Hiatal Hernia
what disease has this as Nursing Interventions – Teaching
Limit foods: spicy, caffeine, chocolate, carbonated, acidic, peppermint, alcohol, certain medications Eat meals 2 hours before lying supine Wear nonrestrictive clothing Maintain normal weight Proper positioning after eating Postoperative education
Hiatal Hernia
