Galen NUR 242 Exam 3 Streb Notes | 100% Correct | Verified | Latest 2024 Version

GERD Risk factors include - Consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol and smoking. GERD the nursing assessment should include - asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents. GERD manifests differently depending on - the patient and the severity of the disorder GERD most common symptoms - -Heartburn (pyrosis) -Dyspepsia (Indigestion) (May be described as substernal burning moving up and down the chest) GERD pain usually develops within - 30-60 minutes after meals Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI GERD symptoms are exacerbated when - lying down flat or bending over GERD regurgitation may lead to - Aspiration or bronchitis These patients are at risk of aspirating when lying flat Symptoms of GERD include - Coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for presence of crackles. Hiatal Hernia - A condition where a part of the stomach that normally is located in the abdominal cavity protrudes through the esophageal hiatus to rest within the chest cavityHiatal Hernia symptoms usually worsen after meals. These symptoms may be made worse when - Lying flat and may resolve with sitting up or walking. Hiatal Hernia patients should immediately report - abdominal pain with nausea, vomiting, and fever Hiatal Hernia lifestyle changes may include - elevating the head of the bed when sleeping to allow gravity to prevent acid from refluxing into the esophagus and remaining upright after meals. Hiatal hernia Diet should consist of - small frequent meals instead of eating two or three larger meals a day. Avoid vigorous movement after meals. Hiatal hernia foods that should be avoided include - spicy, greasy foods, onions, tomatoes and citrus fruits