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Patient: SB (Hiatal Hernia (Medical/Nursing Interventions (Antacids,…
Patient: SB
Hiatal Hernia
S/S
Acid Reflux
Difficulty swallowing
Heartburn
Chest or abd. pain
Diagnostic tests
Upper endoscopy
Esophageal manometry
X-Ray of upper GI
Pathophysiology
If large enough it can cause food and acid to back up into the esophagus --> Heartburn
When the upper part of your stomach bulges out through the diaphragm
Medical/Nursing Interventions
Antacids
Pepcid (H-2 receptor blocker)
Proton pump inhibitors (pantoprazole)
Laparascopic surgery
Eat small frequent meals
Avoid lying down after a meal
Risks
Age > 50 yo
Born with large hiatus
Obesity
Persistent abd. pressure (form straining during BM, vomiting, coughing)
GERD
S/S
Chest pain
Regurgitation of food or sour liquid
Heartburn
Diagnostic Tests
Ambulatory acid probe test
Esophageal manometry
Upper endoscopy
Upper GI X-Ray
Pathophysiology
Ranges from mild exacerbation twice a week to severe exacerbation at least once a week
When stomach acid frequently flows back into the esophagus
Can lead to esophageal ulcer
Medical/Nursing interventions
Antacids
H-2 receptor blockers
Proton pump inhibitors
Stop smoking
Avoid fatty foods
Maintain healthy weight
Risks
Pregnancy
Hiatal Hernia
Obesity
Eating fatty or fried foods