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PYROSIS yaya2 - Coggle Diagram
PYROSIS
DEFINITION
Burning sensation in the upper abdomen.
CAUSES
Citrus, spicy, fatty foods
Over-the-counter medication
Acid reflux
Consumption of caffeine
Obesity
Hiatal hernia
Pregnancy
CLINICAL MANIFESTATIONS
Pains that worsen when lying down
Acidic mouth taste
Burning chest pains
Poor appetite
Persistent nausea and vomiting.
Difficulty in swallowing
DIAGNOSTIC TESTS
Endoscopy to detect esophagus abnormalities
Esophageal motility testing to detect the mobility of esophagus
X-ray to locate esophagus and stomach
Ambulatory acid probe test to determine intensity of acid reflux
NURSING CARE PLAN
Nursing intervention
Gather patient dietary history intake
Identify amount of weight loss needed
Assess for location of pain
Assist patient to engage in exercises
Encourage small frequent meals
Assess pulmonary symptoms regarding acid reflux
Daily measurement of patient's weight and height
Avoid nasogastric intubation of more than 5 days
Inform patient about condition and treatment options
Evaluation
Maintain patent airway
Patient archives and maintains adequate body weight
Patient is more enlightened about condition
Patient will ingest daily nutritional requirements
Relieved chest pain
Nursing diagnosis
Acute chest pain
Deficient knowledge
Imbalanced nutrition
PHARMACOLOGICAL THERAPY
Proton pump inhibitors to decrease stomach acid
H2 receptor antagonists decrease stomach acid
Antacids for neutralizing stomach acid
Histamine2 inhibitors decreasing acid production
DIET
Certain carbohydrates eg oatmeal, whole grain, rice
Monounsaturated and polyunsaturated fats
Grilled, broiled lean meat
Chewing gum besides peppermint
Non-citrus fruits and vegetables
HEALTH EDUCATION
Eat small frequent meals
Avoid lying down after meals
Avoid alcohol consumption and smoking
Slightly elevate head of the head
Avoid triggering factors and foods
Avoid late meals
Maintenance of a healthy body weight
REFERENCES
https://www.mayoclinic.org/diseases-conditions/heartburn/symptoms-causes/syc-20373223
PATHOPHYSIOLOGY
Dysfunctional lower esophageal sphincter results
Reflux of large amounts of acid occurs.
Delayed gastric emptying causes increased volume and pressure on the reservoir
Poor esophageal motility occurs
Valve mechanism gets defeated
Heartburn results
