Week 1 & 2 Slide Notes Flashcards
Barium Swallow or Upper GI tract study
Patient drinks barium
Used to evaluate disorders through the GI tract
Barium Swallow Nursing Considerations
NPO
Fluids to aid in excretion of barium
White stools 24-72 hours until barium clears
Oral Careq
Brush BID
Floss daily
No ETOH
Q6Month Dental visits
Xerostomia
Known as dry mouth, caused by oral cancer multiple medications, HIV and lockjaw
Interventions for Xerostomia
Avoid dry bulky foods
Avoid alcohol and tobacco
Use humidified oxy
Use chewing gum and lozenges or synthetic saliva
Clinical manifestations of Jaw trauma/disorders are
Dull ache
Restricting jaw motion and locking of the jaw
misalignment of the upper and lower teeth,
Popping, clicking, and grating sound when mouth is opened
and swelling id trauma has occured
Management of Jaw trauma/disorders
Physical therapy
NSAIDS
Oral appliances
Various Diet restrictions and Edu.
* The main goal is to maintain the airway, controlling bleeding is second*
You should almost always have wires cutters at the bedside in order to cut through oral appliances like braces so they do not choke
Oral Cancer and Pharynx cancer RF and locations
Rates are increasing and RF include
Tobacco/nicotine
HPV
Previous history of head and neck CA
Located around the Lips, tongue, buccal mucosa, floor of
mouth, hard palate, upper and lower
gingiva
Clinical manifestations for Oral Cancer and Pharynx cancer
few or no early symptoms
painless sore/lesion that does not heal
Harneded spot with raised edges
Red or white patch in the mouth or throat
Later stages involve tenderness, difficulty swallowing, coughing up blood and wt loss
Management of Oral Cancer and Pharynx cancer
Radiation
Chemo
Surgical options (simple excision, or radical neck dissection)
Select the assessment finding that the nurse should report
immediately post radical neck dissection.
A. Temperature of 100.8 degrees
B. Pain
C. Stridor
D. Localized wound tenderness at the incision site
C
Post Radical Neck Dissection Care
Keep in Fowler position, and maintain airway clearance.
Look for strido and s/s of distress
Use humidified oxy VIA FACE TENT and suction.
Post Op Graft chekc
Assess color, and temp.
Use a doppler for a pulse check
Difficult to assess grafts in the mouth
Wound Care and Nutrition Post RND
Wound care:
You’ll need a drainage tube (Jackson Pratt)
Should be within 80-120 ml/24 hours.
Reinforce PRN and change as prescribed
Nutrition
Start liquid the move to soft.
Will be enteral or parenteral
Things to avoid post RND
Hemorrhage
Valsava maneuver
And avoid sedentary (Move ASAP)
