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gastric disorders

from comparison of gastric disorders on D2L

What is a hiatal hernia? Herniation of a portion of the stomach into the esophagus through an opening in the diaphragm
What is peptic ulcer disease? HCL & pepsin erode mucosa, cellular destruction, vasodilation, destruction of blood vessels, bleeding
What is gastroenteritis? Inflammation of the mucosa of stomach and small intestine caused by viral/bacteria infection
What is gastritis? Inflammation of gastric mucosa, breakdown of mucosal barrier. HCL and pepsin cause tissue edema
Assessment findings: hiatal hernia heartburn (pyrosis) after a meal or when lying supine. Dysphagia
Assessment findings: peptic ulcer disease Dyspepsia 1-2 hours after meals (for gastric ulcers) - aggrevated by food. Pain 2-4 hours after meals (for duodenal ulcers)- relieved by antacids/food
Assessment findings: gastroenteritis nausea, vomiting, diarrhea, abdominal cramping/distention
Assessment findings: gastritis nausea, vomiting, epigastric tenderness, feeling of fullness
Risk factors: hiatal hernia weakening of the diaphragmatic muscles around the esophogastric opening, increased intra-abdominal pressure, obesity, pregnancy, ascites, heavy lifting
Risk factors: peptic ulcer disease H. pylori, medications, smoking, bile reflux
Risk factors: gastroenteritis cause is viral/bacterial
Risk factors: gastritis use of NSAIDs, ASA, corticosteroids, alcohol, spicy foods, renal failure, H. pylori
Nursing interventions: hiatal hernia avoid lifting, HOB elevated, eliminate alcohol, eliminate smoking, use PPIs, use H2Receptor blockers, surgery (herniorrhaphy)
Nursing interventions: peptic ulcer disease (see plan of care 42-2) will edit this card later!
Nursing interventions: gastroenteritis IV fluids, NPO, maintain NG tube if severe, teach about proper food handling!
Nursing interventions: gastritis IV fluids, NPO, maintain NG tube if severe
Created by: ld23012