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unit 9 GASTROINTESTINAL
HIATAL HERNIA
20
Nursing
Undergraduate 1
04/05/2011

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Cards

Term

HIATAL HERNIA

what gender is more affected?

Definition
Women more then men
Term

HIATAL HERNIA

CAUSE –

Definition

A PORTION OF THE STOMACH PROTRUDES UPWARD THROUGH A DEFECT IN THE DIAPHRAGM

Term

HIATAL HERNIA

MAY BE R/T

Definition
CONGENITALLY WEAK SPOT OR TRAUMA TO DIAPHRAGM
Term

HIATAL HERNIA 

Type:

PARA (ROLLING)

Definition

UPPER STOMACH (FUNDUS) POKES UP NEXT TO THE ESOPHAGUS

Term

HIATAL HERNIA 

Type:

 

SLIDING

Definition
MOST COMMON -- UPPER STOMACH SLIDES THROUGH THE HOLE
Term

HIATAL HERNIA

CONTRIBUTING FACTORS

Definition

INCREASED ABD PRESSURE (CONSTIPATION, STRAINING, LIFTING)

MULTIPLE PREGNANCIES

OBESITY

DECREASED MUSCLE TONE IE AGING 

Term

HIATAL HERNIA

COMPLICATIONS

Definition

UPPER PORTION OF STOMACH BECOMES TRAPPED LEADING TO GERD

Term

HIATAL HERNIA

CLINICAL MANIFESTATIONS 

Definition

HEARTBURN, BELCHING

SUBSTERNAL/EPIGASTRIC PAIN OR PRESSURE: MUST R/O MI

VOMITING R/T ESOPHAGUS DISTENDED BY FOOD

Term

HIATAL HERNIA

DIAGNOSTIC TESTS

Definition

BARIUM SWALLOW

EGD

Term

HIATAL HERNIA

MANAGEMENT

MEDICAL 

Definition
SAME AS GERD 
Term

HIATAL HERNIA

MANAGEMENT

SURGICAL

Definition

CONTROVERSIAL -- RECURRENCE 10-15% IN 5 YRS.

VARIOUS PROCEDURES – PORTION OF STOMACH WRAPPED AROUND LOWER ESOPHAGUS

NISSEN & BELSEY – ABD INCISION

HILL REPAIR – CHEST INCISION & CHEST TUBE (REPAIRS DEFECT IN DIAPHRAGM)

NEW – LAPOROSCOPIC NISSEN (LIKE FOR GERD) 

Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE

Definition

SURGICAL POST-OP CARE

EXTRA HIGH RISK OF RESP. COMPLICATIONS

TURN Q2H, IS, C&DB Q1H WA

MOBILIZE AS TOLERATED AS SOON AS ALLOWED

MONITOR NG TUBE CLOSELY

Term

HIATAL HERNIA MANAGEMENT

SURGICAL POST-OP CARE

WHEN THE NURSE IS MONITOR NG TUBE POST-OP 

SHE SHOULD SEE....

Definition
DRAINAGE TO BE DARK REDDISH BROWN INITIALLY THEN YELLOW-GREEN IN ABOUT 8 HRS
Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE.

WHAT SHOULD THE NURSE MONITER THE BOWLS FOR?

Definition
FOR RETURN OF BOWEL SOUNDS & PASSING OF FLATUS 
Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE.

WHAT THINGS ARE TO BE AVOIDED AFTER SURG.

Definition
GASTRIC DISTENTION WHICH LEDS TO PRESSURE ON REPAIRED AREA & RUPTURE OF SUTURE LINES
Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE.

WHY SHOULD YOU ANCHOR NG WELL? 

Definition

IF PULLED OUT HIGH RISK OF SUTURE LINE RUPTURE WHEN REPLACING

Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE.

WHAT CARE SHOULD YOU PROVIDE R/T

DYSPHAGIA POST-OP 

Definition
SUPERVISE FIRST FEEDINGS 
Term

HIATAL HERNIA

MANAGEMENT

SURGICAL POST-OP CARE.

 WHEN MIGHT SOME PT. HAVE GASTROSTOMY TUBE FOR NUTRITION UNTIL..... 

Definition

INTERNAL SUTURE LINES HEAL

Term

HIATAL HERNIA

TEACH PT. & FAMILY

DIETARY


Definition

SMALL FREQUENT MEALS R/T STOMACH NOW SMALLER 

Term

 

HIATAL HERNIA

TEACH PT. & FAMILY

STOOL SOFTENERS  

 

Definition

 

AVOID CONSTIPATION R/T STRAINING PUTS PRESSURE ON SUTURE LINES

 

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