(^312) Medical-Surgical Nursing Demystified
- Burping (eructation)
- Chest pain
- Rolling hernia:
- Chest pain
- Shortness of breath after eating
- Feeling of fullness after eating
INTERPRETING TEST RESULTS
- Barium swallow or upper GI study shows hiatal hernia.
TREATMENT
- Administer antacids for patients with reflux symptoms:
- Maalox, Mylanta, Tums, Gaviscon
- Administer histamine type 2 (H2) blockers to reduce stomach acid:
- ranitidine, nizatidine, famotidine, cimetidine
- Administer proton pump inhibitors to reduce the production of acid:
- omeprazole, esomeprazole, pantoprazole, rabeprazole, lansoprazole
- Avoid lying down after eating.
- Modify eating schedule; small, frequent meals.
- Elevate head of bed.
- Avoid clothing that is tight around the waist.
NURSING DIAGNOSES
- Acute pain
- Chronic pain
NURSING INTERVENTION
- Monitor vital signs.
- Assess abdomen for distention, bowel sounds.
- Teach patient about lifestyle modifications:
- Medication management.