2 Flashcards
(50 cards)
Life Threatening Risk / Complication in infant
- failure to thrive
- aspiration pneumonia
- apnea
- esophageal stricture
assesment in child and adolescent:
Heartburn
🠶 Abdominal pain
🠶 Cough, recurrent pneumonia
🠶 Dysphagia
Major Complication of gerd
acute gastric bleeding
Assess Ph of secretions in esophagus if
<7.0 indicates p
prescence of acid
GERD id diagnosed with
barium swallow and endoscooy
position in gerd
keep upright for 30 minutes
reduce
gastric acidity
H2 Histamine receptor antagonists –
H2 Histamine receptor antagonists examples
Zantac and Pepcid
medication for gerd
H2 Histamine receptor antagonist
Proton-pump inhibitors
Gastric emptying
Antacids
example of gastric emptying
reglanq
Proton-pump inhibitors exaples
prevacid, prilosec
example of antacid
gaviscon
done to increase the competence of the cardiac
sphincter.
Nissen fundoplication
the upper part of the stomach is wrapped around
the lower end of the esophagus and stitched in place, reinforcing the
closing function of the cardiac sphincter.
nissen fundoplication
Post-op Nursing Care
Assess for pain, abdominal distention, and return of
bowel sounds
The pylorus muscle which is at the distal end of the
stomach becomes thickened causing constriction
of the pyloric canal between the stomach and the
duodenum and obstruction of the gastric outlet of
the stomach.
pyloric stenosis
Narrowing of the pyloric
spincter
pyloric stenosis
the surgeon cuts the tight muscle between the
stomach and small intestine. T
Pyloromyotomy
This loosens the muscle so the stomach can
empty and food will be able to pass easily into the small intestine
pyloromyotomy
Feeding begins with clear liquids containing what in pyloromyotomy
glucose
electrolyte
Is the intermittent protrusion of the
stomach up through the esophageal
opening in the diaphragm. W
hiatal hernia
When this
occurs, the volume of the stomach is
suddenly restricted, leading to periodic
vomiting similar to that of
gastroesophageal reflux
hiatal hernia
assessment of hiatal hernia
vomiting
shortness of breath
pain on vomiting
treatment and Nursing Care for hiatal hernia
- laparascopic surgery
- antacid
keep baby uprigh