Hiatal Hernia
Description
1. also known as esophageal or diaphragmatic hernia
2. a portion of the stomach herniates through the diaphragm and into the thorax.
3. it results from weakening of the muscles of the diaphragm and is aggravated by factors that increase abdominal pressure such as pregnancy, ascites, obesity, tumors and heavy lifting
4. complications include ulceration, hemorrhage, regurgitation and aspiration of stomach contents, strangulations and incarceration of the stomach in the chest with possible necrosis, peritonitis and mediastinitis
Assesment
a. heartburn, regurgitation or vomiting, dysphagia, feeling of fullness
Implementation
1. medical and surgical management is similar to that of GERD
2. provide small frequent meals and minimize the amount of liquids
3. advise the client not to recline for 1 hour after eating
4. avoid anticholinergics, which delay stomach emptying
1. also known as esophageal or diaphragmatic hernia
2. a portion of the stomach herniates through the diaphragm and into the thorax.
3. it results from weakening of the muscles of the diaphragm and is aggravated by factors that increase abdominal pressure such as pregnancy, ascites, obesity, tumors and heavy lifting
4. complications include ulceration, hemorrhage, regurgitation and aspiration of stomach contents, strangulations and incarceration of the stomach in the chest with possible necrosis, peritonitis and mediastinitis
Assesment
a. heartburn, regurgitation or vomiting, dysphagia, feeling of fullness
Implementation
1. medical and surgical management is similar to that of GERD
2. provide small frequent meals and minimize the amount of liquids
3. advise the client not to recline for 1 hour after eating
4. avoid anticholinergics, which delay stomach emptying
Categories:
Medical Surgical Nursing
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