from comparison of gastric disorders on D2L
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| What is a hiatal hernia? | Herniation of a portion of the stomach into the esophagus through an opening in the diaphragm
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| What is peptic ulcer disease? | HCL & pepsin erode mucosa, cellular destruction, vasodilation, destruction of blood vessels, bleeding
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| What is gastroenteritis? | Inflammation of the mucosa of stomach and small intestine caused by viral/bacteria infection
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| What is gastritis? | Inflammation of gastric mucosa, breakdown of mucosal barrier. HCL and pepsin cause tissue edema
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| Assessment findings: hiatal hernia | heartburn (pyrosis) after a meal or when lying supine. Dysphagia
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| 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
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| Assessment findings: gastroenteritis | nausea, vomiting, diarrhea, abdominal cramping/distention
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| Assessment findings: gastritis | nausea, vomiting, epigastric tenderness, feeling of fullness
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| Risk factors: hiatal hernia | weakening of the diaphragmatic muscles around the esophogastric opening, increased intra-abdominal pressure, obesity, pregnancy, ascites, heavy lifting
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| Risk factors: peptic ulcer disease | H. pylori, medications, smoking, bile reflux
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| Risk factors: gastroenteritis | cause is viral/bacterial
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| Risk factors: gastritis | use of NSAIDs, ASA, corticosteroids, alcohol, spicy foods, renal failure, H. pylori
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| Nursing interventions: hiatal hernia | avoid lifting, HOB elevated, eliminate alcohol, eliminate smoking, use PPIs, use H2Receptor blockers, surgery (herniorrhaphy)
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| Nursing interventions: peptic ulcer disease | (see plan of care 42-2) will edit this card later!
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| Nursing interventions: gastroenteritis | IV fluids, NPO, maintain NG tube if severe, teach about proper food handling!
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| Nursing interventions: gastritis | IV fluids, NPO, maintain NG tube if severe
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