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 |