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Treatment for gingivitis
Brush teeth & floss 2x per day
Regular dentist visits for routine cleanings
Gastroesophageal (GERD) Teaching
Eat 4-6 small meals daily
Eliminate foods that decrease LES (spicy, tomato-based, citrus, coffee)
Potential conversion of epithelial cells could lead to cancer (Barrett’s esophagus leads to increased esophageal cancer risk)
No lying down after eating
Avoid drinking and eating at the same time
Education about med regimen and side effects
Peptic Ulcer Risk Factors
Family hx, Type O blood
modifiable factors must be educated on
Tobacco and caffeine use
Glucocorticoids and NSAIDs
Psychological stress
Helicobacter pylori
primary cause of peptic ulcer
gram-negative bacteria
Appendicitis Pathophys
RLQ pain
Nausea
Vomiting
Rebound tenderness
Guarding
Intestinal Obstruction Diagnosis
X-ray
CT
CBC w/ diff WBC
Barium swallow or barium edema
Careful hx and physical exam
Constipation Causes
Lack of exercise
Lack of fiber
Stool stays in intestines too long
Too much water reabsorbed causing hard stools
Low fluid intake
Slow motility of waste material through large intestine
Certain foods, meds, disease
Assess for dietary and fluid intake
Before meds, consider increasing fluid intake and dietary fiber
Meds: laxatives like Metamucil
Diarrhea Meds
Antidiarrheal drug like Lomotil / Loperamide