NURS 3290 Lecture Notes - Lecture 13: Cholinergic, Sucralfate, Cholecystitis
11 Apr 2016
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Teaching: wire cuters (incase of respiratory or cardiac arrest), diet (liquid blended foods/ensure), mouthwash + salt water, do not brush for irst day. Protrusion of stomach or lower esophagus (hh), hh can turn into gerd. May lead to barret"s esophagus (cells change to precancerous columnar, can cause mild bleeding/perforaion) Barium swallow determines if there is protrusion of upper stomach. Esophageal manometric studies check pressure of les and esophagus. Radionuclide studies detect relux of gastric contents and the rate of esophageal clearance. Antacids: maalox, mylanta, gelusil all ater meals or before bed. Anisecretory: h2 receptors: raniidine/zantac, cimeidine/tagamet, famoidine/pepcid, ppis: esomeprazole/nexium, omeprazole/losec, lansoprazole/prevacid. Cholinergic: bethanecol/duvoid to treat lack of muscle tone. 3: poorly controlled symptoms, ani relux procedure needed to restore les (severe) Barium swallow before x ray to help visualize structures of stomach. Upper gi endoscopy: esophagoscopy: endoscope inserted through mouth/nares, gastroscopy bx. Moility studies: esophageal manometry test motor funcion of ues and les.
