Care of the Patient with GI Disorders

GERD: Patient Education Tips?

Lifestyle changes (elevate HOB, food triggers, small meals, no late eating, weight, stop smoking). Med adherence. Report worsening symptoms.

GERD: Key Nursing Care?

Elevate HOB. Avoid trigger foods (fatty, chocolate, spicy, caffeine). Small meals. No eating 2-3 hrs before bed.

Diarrhea: What to Assess?

Stool frequency/consistency. N/V, fever, cramps. Dehydration signs. Recent travel/antibiotics. Electrolytes (K+).

Nursing Care for Diarrhea?

Hydration (ORS/IV). Protect skin. Avoid anti-diarrheals if infectious. Bland diet (BRAT). Hand hygiene.

Constipation: What to Assess?

Usual bowel pattern, last BM. Fiber/fluid intake. Meds (opioids). Activity. Abdominal distention/pain.

TPN: Key Nursing Considerations?

Aseptic technique (line care). Monitor glucose (every 4-6hr), I&O, weights, electrolytes. Administer by pump.

TPN: Common Complications?

Infection (fever, chills at site). High/Low Blood Sugar. Electrolyte imbalance. Fluid overload. Refeeding Syndrome.

TPN vs. Enteral Feeding - Main Difference?

TPN: IV, bypasses GI, for non-functional gut.

Enteral: Tube to GI, uses gut, safer if functional.

Oral Health: Patient Education Basics?

Brush 2x/day, floss daily. Regular dental visits. Limit sugary foods. Report bleeding gums/sores.

How to assess oral health?

Inspect lips, gums, teeth, tongue, throat. Check for lesions, inflammation, pain, dryness.

Nursing Care for Oral Health?

Assist with hygiene. Use soft brush. Lubricate lips. Assess for risk (NPO, meds, O2).

Nursing Care for Constipation?

Increase fluids (2-3L), fiber. Encourage activity. Regular toileting routine. Administer meds (laxatives) as ordered.