Name That Disorder
Inflammation of the stomach lining
Gastritis
How is a canker sore (aphthous stomatitis) diagnosed?
Physical exam
Name 3 complications of nausea and vomiting
1. Dehydration
2. Electrolyte imbalance
3. Metabolic alkalosis
What medication could the nurse give to the patient with nausea and vomiting?
Antiemetics (Zofran)
These 2 lifestyle choices play a part in nearly all GI disorders
1. Smoking
2. Alcohol
In this disorder, part of the stomach bulges or slips through the diaphragm
Hiatal hernia
What 3 ways is obesity defined?
1. Ideal height-weight chart
2. Waist circumference
3. BMI
What complication results from Barrett's esophagus
Esophageal cancer
In what order would a nurse advance a patient's diet?
Clear liquids, full liquids, diet as tolerated
In addition to smoking, alcohol use, and advancing age, GERD and hiatal hernias have this risk factor in common
Pregnancy
Dilated blood vessels in the esophagus that can cause life-threatening blood loss if rupture occurs
Esophageal varices
These 2 diagnostics may be used to identify and monitor a Mallory-Weiss tear
1. EGD
2. Hemoglobin/hematocrit
Name 4 complications related to GERD
Any of the following: asthma, aspiration pneumonia, bronchospasm, laryngospasm, chronic bronchitis, Barrett's esophagus
What is the most important intervention to provide to an obese patient?
Education
In addition to smoking, alcohol use, and obesity, this condition is also a risk factor for esophageal cancer
Barrett's esophagus
Erosion from acid reflux causes a change in the epithelium that can be a precursor to cancer.
Barrett's esophagus
_____ and _____ are used in the diagnosis of GERD
Barium swallow; esophagoscopy
Name 5 complications related to obesity
Any of the following: atherosclerosis, heart disease, hypertension, sleep apnea, type II diabetes, decreased mobility, decreased self esteem, depression
What 5 foods should be avoided in conditions such as GERD and peptic ulcer disease?
1. Alcohol
2. Spicy foods
3. Acidic foods
4. Caffeine
5. Chocolate
The number 1 safety risk in the patient with vomiting is this
Aspiration
Risk factors include alcohol and tobacco use, obesity and Barrett's esophagus. Signs and symptoms are dysphagia, obstruction, and pain with eating.
Esophageal cancer
These 4 diagnostics are used to identify peptic ulcer disease
1. H. pylori tests
2. EGD
3. Biopsies
4. Barium swallow
What complication can esophageal varices lead to?
Fatal hemorrhage
What 4 education topics are relevant to GERD?
1. Lifestyle changes
2. Diet modification
3. Weight loss
4. Smoking cessation
In addition to smoking and alcohol use, this is also a risk factor for most GI disorders
Overweight/obesity