*NURSING > MED-SURG EXAM > Med Surg Exam 3 Complete study guide|Galen College of Nursing - NUR 242 MS Exam 3 (All)

Med Surg Exam 3 Complete study guide|Galen College of Nursing - NUR 242 MS Exam 3

Document Content and Description Below

Med Surg Exam 3 Streb PP Chapter 7 Chapter 54: Care of Patients with Esophageal Problems, pp. 1087-1092 Gastroesophageal Reflux Disease (GERD) • Risk factors include consumption of foods such as c... affeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol and smoking. • The nursing assessment should include asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents. GERD manifest differently depending on the patient and the severity of the disorder. • Heartburn, dyspepsia, is the most common symptom and may be described as substernal burning moving up and down the chest. 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. 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 the presence of crackles. Chapter 52: Assessment of the Gastrointestinal System, pp. 1092-1095 Hiatal Hernias (diaphragmatic hernias) • A condition where a part of the stomach that normally is in the abdominal cavity protrudes through the esophageal hiatus to rest within the chest cavity. • Symptoms usually are worse after meals. These symptoms may be made worse when lying flat and may resolve with sitting up or walking. Patient should immediately report abdominal pain with nausea, vomiting, and fever. • 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. • Small frequent meals may help instead of eating two or three larger meals a day. Avoid vigorous movement after meals. • Some foods that should be avoided include spicy, greasy foods, onions, tomatoes and citrus fruits, however, most individuals are generally aware of the foods that trigger heartburn symptoms and avoid them. Chapter 54, Care of Patients with Esophageal Problems, pp. 1089 Esophagogastroduodenoscopy (EGD) • An esophagogastroduodenoscopy (EGD), which is also known as an upper endoscopy or upper gastrointestinal endoscopy, is a diagnostic procedure that is performed to view the esophagus, stomach, and duodenum (part of the small intestine). In an EGD, the doctor uses an endoscope, a flexible, tube-like, telescopic instrument with a tiny camera mounted at its tip, to examine images of the upper digestive tract displayed on a monitor in the examination room. • Small instruments may also be passed through the tube to treat certain disorders or to perform biopsies (remove small samples of tissue). [Show More]

Last updated: 1 year ago

Preview 1 out of 23 pages

Add to cart

Instant download

We Accept:

We Accept
document-preview

Buy this document to get the full access instantly

Instant Download Access after purchase

Add to cart

Instant download

We Accept:

We Accept

Reviews( 0 )

$11.00

Add to cart

We Accept:

We Accept

Instant download

Can't find what you want? Try our AI powered Search

OR

REQUEST DOCUMENT
49
0

Document information


Connected school, study & course


About the document


Uploaded On

Sep 10, 2021

Number of pages

23

Written in

Seller


seller-icon
GradeProfessor

Member since 3 years

57 Documents Sold


Additional information

This document has been written for:

Uploaded

Sep 10, 2021

Downloads

 0

Views

 49

Document Keyword Tags

More From GradeProfessor

View all GradeProfessor's documents »

Recommended For You

Get more on MED-SURG EXAM »

$11.00
What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·