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210 Ch. 35
GI- Oral/Esophageal Disorders
| Question | Answer |
|---|---|
| If pt cannot brush teeth what is next best way to clean | wipe with gauze than swish with antiseptic solution |
| Oral care is directly related to what other part of body | cardiac health. The less teeth, the more problems, so promote health |
| Acyclovir would be helpful for what mouth disorder | herpes simplex (cold sore) |
| what is leukoplakia of the mouth | white patches in buccal mucosa, may be malignant from tobacco |
| what is good nsg mgmt for canker sores | saline rinses, soft/bland diet, corticosteroids |
| what is a periapical abscess | abscessed tooth, pus collected in dental periosteum |
| what is malocclusion? | crooked teeth |
| What are the four salivary glands and their fx | parotid(below ear), submandibular, sublingual(floor of mouth), buccal(beneath lips) fx: lubricate/protect from bacteria/digestion |
| Mumps is inflammation of what salivary glands | parotid |
| Radial arteries are often used in neck dissection leaving the ulnar aa...how do you test patency of ulnar aa | pt forms fist, manually compress ulnar aa, release fist, palm pale, release aa, should flush in 3-5sec |
| what is xerostomia | dry mouth |
| what is first priority after surgery of radical neck dissection | airway, breathing and assess for stridor(coarse, high pitched sound on inspiration) listening over trachea |
| What are the two sphincters in the esophagus? | hypopharyngeal sphincter: upper at jx of pharynx adn esophagus LES/cardiac/gastroesophageal: stomach and esophagus |
| what is achalasia? dysphagia? odynophagia? | motility esophagus stops lower 2/3, food gets stuck difficulty swallowing acute pain on swallowing |
| What is a hiatal hernia? | opening in diaphragm thru esophagus passes gets enlarged and part of stomach moves up into lower thorax |
| what are two types of hiatal hernias | sliding: stomach jx are displaced upward and slide in/out thorax rolling: pushes through diaphragm |
| Nsg mgmt for hiatal hernias | small freq feedings, sit up 1 hr after eating to avoid reflux, elevate head |
| What are risk factors for hiatal hernias? | obesity, preg, ascites |
| what meds used for hiatal hernias | proton pump inhibitors |
| what is eurctate? | belching |
| What are nsg priorities for chest pain mgmnt | Check heart, lungs, all other |
| How does Tagamet affect other meds | eliminates first pass effect of Coumadin and Dilantin and cause over medication |
| What is first pass effect | the metabolism of orally administered drugs by gastrointestinal and hepatic enzymes, resulting in a significant reduction of the amount of unmetabolized drug reaching the systemic circulation. |
| With GERD, what is water brash | salty acids that come from stomach up to throat |
| How can Metoclopramide(Reglan) help with GERD? | Helps push food out of stomach, but assess for tongue tremors, extrapyramida SE |
| What surgical mgmts for GERD is effective? | Nissen fundoplication: wrapping portion of gastric fundus aroudn sphincter are of esophagus. Stretta Procedure: stretch LES |
| what complication is assessed for in esophageal surgery | aspiration pneumonia |
| What is vagotomy syndrome? | dumping syndrome caused by Boost/Ensure |
| Which test would best be prepared for diverticulosis | Test: barium enema |
| What is diverticulis? | outpouching of mucosa/sub thru muscle Mostly in colon, left lower |
Created by:
palmerag
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