NUR 209 Lecture Notes - Lecture 29: Gastroesophageal Reflux Disease, Hiatus Hernia, Pyloric Stenosis
Document Summary
1: ch 46, gerd, ch 47, pud, gastric ca. 2: ch 48, diverticular disease, chronic infam bowel disease, colorectal ca, ch 49, hepatitis, cirrhosis, ch 50, biliary disease. Management of patients with oral and esophageal disorders. 1: clinical manifestations, pyrosis, dyspepsia, regurgitation, dyphagia, assessment and diagnosis, endoscopy, barium swallow, management. 2: diet /positioning, smoking cessation, medications, antacids, histamine 2 receptor antagonists, pepcid, zantac, proton pump inhibitor (ppis, protonix, prokinetic agents. Management of patients with gastric and duodenal disorders. Peptic ulcer disease (pud: generic term for ulcers in gi tract that come in contact with gastric juices, esophageal ulcers (lower esophagus, gastric ulcers (stomach, duodenal ulcers (duodenum) 9/2/20: pain, peritonitis, shock, hemorrhage or pyloric obstruction. Management of potential complications: perforation, signs include severe upper abdominal pain that may be referred to the shoulder, vomiting and collapse, tender board-like abdomen, and symptoms of shock or impending shock.
