Clinical Manifestations
The patient with this disorder may experience dyspepsia, belching and pyrosis 30-60 minutes after eating their meal, but 50% of patients will have no symptoms at all.
What is Hiatal hernia?
In preparing for this diagnostic test the nurse understands any patient with ferro-magnetic objects (metals that contain iron) can be attracted to the magnet and cause injury. Items that can be dangerous include jewelry, pacemakers,dental implants,pens,keys, snaps on gowns, IV poles, oxygen tanks and topical medicine patches with a foil backing.
What is an MRI Magnetic resonance Imaging?
Before initiating this type of nutritional support feeding the RN should confirm the proper position of the catheter is verified by the HCP with an xray or fluoroscopy confirming proper placement in the superior vena cava at the junction of the right atrium.
What is Parenteral Nutrition?
What are Central Venous Access Devices?
Patient prescribed this medication should be educated to take 30-60 minutes before breakfast for the best therapeutic effect.
What are Proton Pump Inhibitors ( PPI )pantoprazole (protonix) Omeprazole (prilosec) Esomeprazole(nexium)
A nurse educating a patient regarding this diet would include eating white bread, white rice , puddings and jello, cooked or canned fruits and vegetables, meat baked or boiled.
What is a low residue diet?
The patient with this disorder may have mild or severe symptoms which may often include complaints of pyrosis post prandial and atypical chest pain.
What is GERD (Gastroesophageal Reflux Disease) ?
The nurse preparing a patient for this diagnostic test will instruct the patient to be NPO for 8hrs, to drink plenty of fluids afterwards and to evaluate their stool color for the evacuation of the contrast agent.
What is an Upper Gastrointestinal Tract Barium Study?
A patient newly diagnosed with this nutritional disorder should be educated to eat 6 smaller meals and limit beverages with their meals be sure not to recline 1 hr. after meals and elevate HOB with 4-8 inch blocks to minimize their symptoms.
What is Hiatal hernia?
This medicine creates a viscous substance in the presence of gastric acid that forms a protective barrier that binds to the surface of the ulcer. The patient should take with water but without any food and pt should not take any other medications for 2 hrs. before or after taking it.
What is Sucralfate (carafate)?
A patient being discharged with this nutritional disorder should be taught to eat 3 regular meals/day in a relaxed atmosphere and not to skip meals and to minimize alcohol and caffeine consumption.
What is PUD Peptic Ulcer Disease?
The nurse might suspect this specific nutritional disorder when a patient reports that shortly after eating a meal they experience a gnawing pain in their abdomen.
What is a Gastric Ulcer?
There are four different diagnostic test to determine if this is the contributing factor for this Nutritional disorder.
What is Urea breath test, Serum antigen test, stool antigen test and direct biopsy of gastric lining obtained during an upper endoscopy to test for H.Pylori.
What is H. Pylori ? Research has documented that most Peptic Ulcer Disease result from the gram-negative bacteria H.Pylori
To minimize this complication of Gastric surgery the nurse should educate the patient to eat smaller frequent meals,high in protein, and fat and limit CHO and sugars. Fluids should be consumed 1 hr. before or after meals and pt should rest for 30-60 minutes after eating.
What is Dumping Syndrome?
Pt having a total gastrectomy have lost the ability to produce this and will need to be on this medication for life to prevent pernicious anemia.
What is intrinsic factor secreted from the parietal cells of the stomach. What is monthly injections of B12 because without intrinsic factor B12 cannot be absorbed in the small intestine.
Pt's with this nutritional disorder should avoid these triggers in their diet; citrus, spicy food, chocolate and other hi fat foods, caffeine, beer,tobacco, carbonated beverages and foods containing peppermint.
What is GERD? Gastroesophageal Reflux
The patient who experiences more severe cases of this nutritional disorder, recurring over several years may manifest dysphagia and odynophagia and hoarseness. These patients may also be at risk for developing these precancerous cells.
What is Barret's Esophagus ?
When preparing a patient with abdominal pain for this diagnostic test that includes administration of an oral and IV contrast the nurse should be sure to perform these assessments.
What is monitor BUN and Creatinine lab values, inquire about any allergy to shellfish/Iodine and perform a serum pregnancy test on all females of child-bearing age.
A nurse caring for a patient with PUD should suspect this complication and abdominal emergency when the patient suddenly complains of severe abdominal pain radiating to the right shoulder, is tachycardic and hypotensive.
What is perforation or erosion of the ulcer through the gastric layers into the peritoneal cavity?
This medication suppresses H.Pylori in the the gastric mucosa, assist with healing of mucosal ulcers should be taken on an empty stomach and may turn pt's stool color black.
What is Bismuth subsalicylate (pepto bismol)?
The nurse understands that IV formulations with dextrose concentrations more than % should not be given through peripheral veins because they irritate the intima (innermost walls) of the vein causing chemical phlebitis.
What is more than 10% Dextrose?
The patient with this disorder may present with hematemesis, melena, tachycardia,hypotension and fatigue.
What is an upper GI Bleed?
This diagnostic test can be performed right at the bedside in the laboratory and at home and reveals fecal blood that is not visible to the eye.
What is the FOBT fecal occult blood test?
A patient receiving this type of nutritional support will need to always have the HOB maintained at a minimum of 30 degree angle, preferably 30-45 degree angle) to prevent this complication.
What is enteral tube feeding and aspiration ?
Patients with PUD caused by H. Pylori are most commonly prescribed triple therapy or sometimes a quadruple therapy. The nurse teaching regarding these pharmacological regimens should emphasize that the patient should adhere to and complete the prescribed medication regimen to ensure complete healing of the ulcer.
What is PPI and 2 antibiotics (clarithromycin 500mg BID and amoxicillin 1000mg BID) triple therpy
What is a PPI , 2 antibiotics ( Tetracycline 500mg QID and Metronidazole 250mg QID) and bismuth salicylate 525 mg QID quadruple therapy
The nurse would teach the patient to be sure to incorporate the following foods in this type of diet;
Whole grain breads, oatmeal, bran, fresh fruit and vegetables with skin
What is a high residue diet?