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GASTROINTESTINAL and
midlands tech nursing 265
| Question | Answer |
|---|---|
| Most common type of hiatal hernia | sliding type 90% |
| Common causes of sliding hiatal hernia | aging, congenital causes, obesity |
| Clinical Manifestations of Hiatal Hernia | Regurgitation, Chest Pain, Dysphagia and Heartburn -most common symptom |
| What is the golden standard for hiatal hernia? | esophageal manometry |
| Diagnostic Tests for hiatal hernia? | Upper GI or barium swallow or all 24 hour pH monitoring or esophageal manometry |
| Diet for hiatal hernia? | high protein and low fat |
| What are the Motility drugs that increase lower esophageal sphincter tone? | Urecholine or Reglan |
| What drugs block formation of gastric acid for hiatal hernia? | Prilosec and Prevacid |
| What is the most common hiatal hernia surgical procedure? | Nissen procedure |
| How long should a patient be on a antireflux medication after laparoscopic nissen procedure? | at least a month |
| Peptic ulcer disease risk factors are | fifty and older, medications, h. pylori (most common), genetic predisposition and ulcers |
| What are the histamine receptor antagonists that are used for Peptic ulcers? | Tagamet, zantac, pepcid, axid |
| What are the antacids used for peptic ulcers? | Riopan, Mylanta, Maalox, Tum |
| What will happen to a patient if the use a antacid that has to much magnesium | diarrhea |
| What will happen to a patient if the use a antacid that has to much aluminum | cause constipation |
| what medication can be used to coat a peptic ulcer? | Carafate (Sucrafate) |