Term
HIATAL HERNIA
what gender is more affected?
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Definition
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Term
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Definition
A PORTION OF THE STOMACH PROTRUDES UPWARD THROUGH A DEFECT IN THE DIAPHRAGM
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Term
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Definition
| CONGENITALLY WEAK SPOT OR TRAUMA TO DIAPHRAGM |
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Term
HIATAL HERNIA
Type:
PARA (ROLLING) |
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Definition
UPPER STOMACH (FUNDUS) POKES UP NEXT TO THE ESOPHAGUS
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Term
HIATAL HERNIA
Type:
SLIDING
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Definition
| MOST COMMON -- UPPER STOMACH SLIDES THROUGH THE HOLE |
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Term
HIATAL HERNIA
CONTRIBUTING FACTORS
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Definition
INCREASED ABD PRESSURE (CONSTIPATION, STRAINING, LIFTING)
MULTIPLE PREGNANCIES
OBESITY
DECREASED MUSCLE TONE IE AGING
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Term
HIATAL HERNIA
COMPLICATIONS
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Definition
UPPER PORTION OF STOMACH BECOMES TRAPPED LEADING TO GERD
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Term
HIATAL HERNIA
CLINICAL MANIFESTATIONS
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Definition
HEARTBURN, BELCHING
SUBSTERNAL/EPIGASTRIC PAIN OR PRESSURE: MUST R/O MI
VOMITING R/T ESOPHAGUS DISTENDED BY FOOD |
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Term
HIATAL HERNIA
DIAGNOSTIC TESTS
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Definition
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Term
HIATAL HERNIA
MANAGEMENT
MEDICAL
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Definition
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL |
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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)
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE
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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 |
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Term
HIATAL HERNIA MANAGEMENT
SURGICAL POST-OP CARE
WHEN THE NURSE IS MONITOR NG TUBE POST-OP
SHE SHOULD SEE....
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Definition
| DRAINAGE TO BE DARK REDDISH BROWN INITIALLY THEN YELLOW-GREEN IN ABOUT 8 HRS |
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE.
WHAT SHOULD THE NURSE MONITER THE BOWLS FOR?
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Definition
| FOR RETURN OF BOWEL SOUNDS & PASSING OF FLATUS |
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE.
WHAT THINGS ARE TO BE AVOIDED AFTER SURG.
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Definition
| GASTRIC DISTENTION WHICH LEDS TO PRESSURE ON REPAIRED AREA & RUPTURE OF SUTURE LINES |
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE.
WHY SHOULD YOU ANCHOR NG WELL? |
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Definition
IF PULLED OUT HIGH RISK OF SUTURE LINE RUPTURE WHEN REPLACING
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE.
WHAT CARE SHOULD YOU PROVIDE R/T
DYSPHAGIA POST-OP
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Definition
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Term
HIATAL HERNIA
MANAGEMENT
SURGICAL POST-OP CARE.
WHEN MIGHT SOME PT. HAVE GASTROSTOMY TUBE FOR NUTRITION UNTIL..... |
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Definition
INTERNAL SUTURE LINES HEAL
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Term
HIATAL HERNIA
TEACH PT. & FAMILY
DIETARY
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Definition
SMALL FREQUENT MEALS R/T STOMACH NOW SMALLER
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Term
HIATAL HERNIA
TEACH PT. & FAMILY
STOOL SOFTENERS
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Definition
AVOID CONSTIPATION R/T STRAINING PUTS PRESSURE ON SUTURE LINES
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