Professional Documents
Culture Documents
GASTROINTESTINAL
SYSTEM
– Blood transfusions
• Interventions:
– administer meds
– provide pre/post op care
– administer blood transfusions
– monitor tube placement
– asess vital signs, bleeding
CANCER OF THE
ESOPHAGUS
• Prognosis is very poor, diagnosed at late
stages
• Causes- no known cause, predisposing
factors; irritation, poor oral hygiene
• S/S- progressive dysphagia, painful
swallowing, weight loss, vomiting,
hoarseness, coughing, iron deficiency,
anemia, occult bleeding or hemmorage
Treatment of CA of
Esophagus
• Palliative treatment is common
• Radiation, chemotherapy
• surgery:
– Esophagectomy
– Esophagogastrostomy
– Esophagoenterostomy
– Gastrostomy
Interventions
• Maintain NG tube after surgery
• Assess for signs of hemorrahage
• Monitor respiratory status
• monitor adequacy of nutritional
intake ( high protein, high calorie
diet)
• assess ability to swallow
• allow patient to ventilate feelings
DISORDERS OF DIGESTION
AND ABSORPTION
• N/V
• Hiatal Hernia
• Gastritis
• Peptic Ulcer
• Stomach Cancer
• Obesity
NAUSEA AND VOMITING
• Nausea: unpleasant sensation
usually preceding vomiting, may
have abdominal pain, pallor,
sweating, clammy skin
• PERFORATION
• PYLORIC OBSTRUCTION
TREATMENT
• Drug therapy
– Antacids
– H2 RECEPTOR BLOCKERS
– ANTICHOLINERGICS-Pro-Banthine, Robinul,
Bentyl
– SUCRALFATE- Carafate
– Antibiotics –Flagyl, tetracycline, Biaxin
• treatment goals- relieve symptoms,
promote healing, prevent complications
and recurrence
Nursing Interventions
• Three meals a day – decreases acid
production
• decrease foods that stimulate acid
secretions and cause discomfort
• treat pain with rest, diet and drug
therapy
• educate on stress management and
relaxation
Surgical options for gastric
ulcers
• To decrease acid secretion:
– vagotomy
– pyloroplasty
– gastroenterostomy
– antrectomy
– subtotal gastrectomy
• Billroth I
• Billroth II
Nursing care after gastric
surgery
• No signs of complications
– Gastric dilation
– Obstruction
– Perforation
• Maintenance of NG tube:
– Suction
– do not irrigate or reposition tube
– type of drainage
• Adequate nutrition:
• Treatment: Herniorrhaphy,
Hernioplasty
• Nursing care;
– absence of strangulation, monitor
activity
– general surgery interventions with
surgery