Diagnostics
Diagnostics for GERD
Upper GI endoscopy w/ biopsy & cytology; barium swallow
4 most common classifications of medications to treat GERD
PPIs
Histamine (H2) receptor blockers
Antacids
Cytoprotective
Paraesophageal (rolling)
Sliding
Nursing considerations for an upper GI series/barium swallow (UGI)
Pre: NPO x8h; no smoking after midnight; explain need for contrast & need for position changes during procedure
Post: Prevent impaction (fluids, laxatives); stool white x 72h
Treatment for Herpes Simplex Virus
Antivirals: acyclovir ; valacyclovir
Dietary recommendations for GERD
Avoid foods that decrease LES pressure or irritate esophagus
Nursing Considerations for an Esophagogastroduodenoscopy (EGD)
Pre: NPO x8h; sedation for procedure
Post: NPO until gag reflex; temp q15-30min x 1-2h (monitor for increase)
3 treatments for Parotitis
ABX(if bacterial)
mouthwashes
warm compress
adequate fluid intake
Inflammation of esophagus; common complication of GERD
Esophagitis
2 diagnostics used to diagnose a hiatal hernia
barium swallow; endoscopy
Conservative (non-surgical) treatment for achalasia
sx management
Semisoft diet
eat slowly
fluid w/ meals
sleeping w/ HOB up
Nitrates (isosorbide dinitrate) & calcium channel blockers (nifedipine) relax LES & may improve dysphagia
Complication of GERD; precancerous lesion; HRF esophageal cancer
Barrett's Esophagus
Primary diagnostic tool for GI bleed
Endoscopy
3 nursing considerations post surgical treatment for esophageal cancer
Complications:
*Anastomotic leaks
*Acute resp. distress
NG tube x 5-7 days
Prevent respiratory complications
upright position x 2hrs after PO resumed
Which condition is more concerning: leukoplakia or erythroplakia?
Erythroplakia