Beruflich Dokumente
Kultur Dokumente
REFLUX DISEASE
Is the backflow of gastric and duodenal
contents into the esophagus
Dyspepsia
Regurgitation
Hypersalivation
Interventions
Instruct the client to avoid factors that
decrease lower esophageal sphincter
pressure or cause esophageal irritation
Anorexia, nausea,
and vomiting
acute
Headaches
Hiccuping
Anorexia, nausea,
and vomiting
Belching
Diarrhea
Perspiration
Borborygmi
Interventions
Eat a high-protein, low carbohydrate diet
Abdominal distention
Anemia
Dehydration
Electrolyte imbalances
Interventions
Restrict client's activity to reduce
intestinal activity
Inidgestion
Belching
Flatulence
Murphys sign
Elevated temperature
Tachycardia
Signs of dehydration
Jaundice
Choledocholithotomy requires
incision into the common bile duct to
remove the stone
Weight loss
Cullens signs
Turners sign
Weight loss
Muscle wasting
Jaundice
Interventions
Instruct client to limit fat and protein
intake
Steatorrhea
Anorexia
Abdominal pain
Muscle wasting
Vomiting
Anemia
Irritability
Interventions
Sodium bicarbonate
Gastric Protectants
Misoprostol (Cytotec)
Suppresses secretion of gastric acid
Promotes secretion of bicarbonate and
cytoprotective mucus
Sucralfate (Carafate)
Creates a protective barrier against acid
and pepsin
H2 Receptor Antagonists
Cimetidine (Tagamet)
Food reduces rate of absorption
Ranitidine (Zantac)
Not affected by food
Famotidine (Pepcid)
Not affected by food
Proton Pump Inhibitors