Ch. 53 – Care of Patients with Oral Cavity Problems
• Stomatitis and care
o What is stomatitis?
▪ Inflammation within the oral cavity.
o Assessment of Stomatitis:
▪ Blisters in the oral cavity with pain and swelling
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Ch. 53 – Care of Patients with Oral Cavity Problems
• Stomatitis and care
o What is stomatitis?
▪ Inflammation within the oral cavity.
o Assessment of Stomatitis:
▪ Blisters in the oral cavity with pain and swelling
▪ Fever
▪ Difficulty Eating and drinking.
o Nursing Interventions:
▪ Provide frequent oral care (q 2hrs)
• Mouth rinsing with saline, baking soda
▪ Monitor VS (temp)
▪ Monitor I&O
▪ Be alert for sx of dysphagia (risk for aspiration)
▪ Offer bland, nonacidic foods – cool liquids
▪ Apply topical analgesics
o Meds:
▪ Tetracycline Syrup
▪ Minocycline, chlorhexidine mouthwash
▪ Acyclovir
▪ Nystatin oral suspension
• Leukoplakia vs. Erythroplakia
o Leukoplakia: thickened, white patches that cannot be easily flaked off
▪ Usually benign
o Erythroplakie: red, velvety mucosal leasion
▪ Considered precancerous
▪ Most commonly on floor of mouth
Ch. 54 – Care of Patients with Esophageal Problems
• GERD risk factors and treatment
o Risk factors:
▪ Obesity/overweight▪ Hiatal hernias
o Treatment:
▪ Nutrition Therapy, lifestyle changes and drug therapy.
▪ Nutrition: eliminate foods that decrease LES pressure (peppermint, chocolate,
alcohol, fatty foods, caffeine, carbonated beverages, spicy/acidic food)
▪ Lifestyle changes: smoking cessation, decrease size of meals, avoid eating atleast
3 hours before bed. Sleed 6-12 elevated.
▪ Drug therapy: Antacids, histamine receptor antagonists, PPI’s
▪ Surgical Management: Nissen fundoplication
• Hiatal hernia symptoms
o Symptoms:
▪ Heartburn, regurgitation, CP, dysphagia, belching
• Endoluminal fundoplication (hiatal hernia repair) vs. Nissen fundoplication (GERD surgical
management)
Ch. 55 – Care of Patients with Stomach Disorders
• Types of ulcers (gastric vs. duodenal)
o Gastric Ulcers:
▪ Develop in the atrum of the stomach near acid-secreting mucosa
o Duodenal ulcers
▪ Upper portion of the duodenum that penetrate through the mocsa and
submucosa.
▪ High gastric acid secretion
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