Term | Definition |
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 |