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Oral Cavity Problems
| Question | Answer |
|---|---|
| Painful single or multiple ulcerations of the oral mucosa that appear as inflammation in the oral mucosa, impairing the protective lining of the mouth | Stomatitis |
| Apthous(Non-infectious) ie. Canker soreHerpes Simplextraumatic ulcers | Primary Stomatitis |
| From infection by opportunitis, viruses, fungus, or bacteria in patients who are immunocompromised ex-candidiasis | Secondary Stomatitis |
| White curd like, from fungus, can scrape off tongue (patients on steroids often have this) | Candidiasis |
| Stomatitis may result from | infection, allergy, vitamin deficiency, systemic disease, or irritants |
| Infectious agents that may cause stomatitis | bacteria, viruses |
| Foods that may cause stomatitis | coffee, potatoes, cheese, citrus, fruits, gluten, and nuts |
| Systemic disease that may cause stoamtitis | hiv, chronic renal failure, IBD |
| most common type of stomatitis | Canker sore-primary |
| Canker sore most common in | Females-during menstruation or during pregnancy due to the increased steroid levels of progesterone |
| Oral Hygiene for a patient with stomatisis | Soft bristle toothbrush, avoid commercial mouthwashes, saline rinses |
| Premalignant-Red,velvety mucosal lesion | Erythoplakia |
| Thick white firmly attached patches that cant be removed by scraping-premalignant | Leukoplakia |
| Number One risk factor for oral tumors | Tobacco |
| Primarily on lips, evolves into characteristic ulcer with raised pearly border, and does not metastize | Basal cell carcinoma |
| Malignant lesions that arise in the blood vessels, painless appears as purple nodule or plaque, hard palate in the mouth most common site | Kaposis Sarcoma |
| Can be used to determine the spread of cancer into the lungs or liver | CT Scan |
| Common nursing dx for Oral Tumors | Risk for ineffecitive airway clearance r/t obstructed airway by the tumor, edema, or secretions |
| Presence of fixed cervical lymph nodes | Probable Mestasis |
| Mestasis to where is common | Lymph nodes and mandible |
| Non-surgical intervention for a pt with oral cancer | Radiation-tumor reduction preserve functionChemotherapy-comfort measures, most agents induce N&V up to two days after treatment |
| Side effect of radiation or chemotherapy | Thrombocytopenia=Risk for bleeding |
| Number one nursing intervention for non-surgical patient | Assess respirations |
| Aspiration precautions | place pt in semi fowlers position |
| oral care for oral cancer | chemo toothbrush every 2 hours if tolerated |
| avoid what with oral cancer? | hot spicy foods,hot drinks, tobaccowear dentures that fitsmall,frequent feedings |
| 3 factors that influence the extent of surgery | 1. size and location of tumor2. tumor invasion to bone3. presence of mestasis to neck lymph nodes |
| inflammation of a salivary gland | acute sialadenitis |
| nursing intervention for acute sialadenitis | frequent oral hygiene, well hydrated, stimulate secretions by hard candy or sugarless gum |
| rarest of all oral tumors | salivary gland tumors |
| Treatment for what type of cancer causes inflammation of the salivary gland | thyroid cancer |
| very dry mouth caused by a severe reduction in the flow of saliva within 24 hours after receiving RT to the salivary glands | Xerostomia |
| Nursing intervention for acute sialadenitis | hydration-ivfwarm compressmassage of glandsuse of sialagogues-substances that stimulate salivation ie lemon slices, citrus flavored candies |
Created by:
ashleyrodriguez
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