Galen NUR 242 Exam 3 Streb notes 2025 EXAM
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Terms in this set (189)
Consumption of foods such as caffeine, alcohol, spicy
or fried foods, chocolate, and tomatoes. Lifestyle
GERD Risk factors include
factors play a big part especially alcohol and
smoking.
GERD the nursing asking about a history of heartburn or atypical chest
assessment should include pain associated with the reflux of GI contents.
GERD manifests differently the patient and the severity of the disorder
depending on
-Heartburn (pyrosis)
-Dyspepsia (Indigestion)
GERD most common
symptoms
(May be described as substernal burning moving up
and down the chest)
30-60 minutes after meals
GERD pain usually
develops within Severe heartburn pain can radiate to the neck, jaw, or
back and patients may think they are having an MI
GERD symptoms are lying down flat or bending over
exacerbated when
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Aspiration or bronchitis
GERD regurgitation may
lead to
These patients are at risk of aspirating when lying flat
Coughing or wheezing at night, dysphagia, belching
Symptoms of GERD
and nausea, hoarseness, and insomnia. Assess lungs
include
for presence of crackles.
A condition where a part of the stomach that normally
Hiatal Hernia is located in the abdominal cavity protrudes through
the esophageal hiatus to rest within the chest cavity
Hiatal Hernia symptoms Lying flat and may resolve with sitting up or walking.
usually worsen after
meals. These symptoms
may be made worse when
Hiatal Hernia patients abdominal pain with nausea, vomiting, and fever
should immediately report
elevating the head of the bed when sleeping to allow
Hiatal Hernia lifestyle
gravity to prevent acid from refluxing into the
changes may include
esophagus and remaining upright after meals.
small frequent meals instead of eating two or three
Hiatal hernia Diet should
larger meals a day. Avoid vigorous movement after
consist of
meals.
Hiatal hernia foods that spicy, greasy foods, onions, tomatoes and citrus fruits
should be avoided include
the lining of the stomach known as the mucosa
becomes inflamed or swollen. When the stomach
Gastritis occurs when
mucosa becomes inflamed edema, hemorrhage and
erosion of the mucosa occur.
Medical treatment for ASA and NSAIDS
Gastritis depends on the
specific cause. Patients
will be instructed to stop
taking irritating
medications such as
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Gastritis medications to Antacids, H2 antagonists, and Proton pump inhibitors
decrease the amount of
hydrochloric acid in the
stomach. these would
include
Deficient Fluid Volume
The patient with Gastritis is
A nursing priority is to access the patient's hydration
at risk for
status. Includes I&O, Daily Weights, &VS.
are a break in the mucous lining of gastrointestinal
tract from continued contact with gastric juice. This
Peptic Ulcers Disease
results in inflammation. Pain that is worsened by the
ingestion of food.
Ulcers in the mucosa of GI H. Pylori infection
tract occur from several
different causes.
Duodenal ulcers are
associated with a
a dull, aching pain, often right after a meal; eating
Gastric ulcer pain is
does not relieve pain and may even worsen it. Pain
described as
may also occur late at night.
Nausea with or without vomiting, weight loss,
Other symptoms
anorexia, belching and dyspepsia (indigestion). Patient
associated with PUD are
may report a distended abdomen that is painful.
Smokers
smoking contributes to the pathogenesis of peptic
PUD increased risk factor ulcer disease. Smoking causes an acceleration of
in gastric emptying of liquids, promotes of
duodenogastric reflux and causes a reduction in
mucosal blood flow. Patient should attend a smoking
cessation course.
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