Timby's Introductory Medical-Surgical Nursing Chapter 45 Exam Questions (68 Terms) With Verified Definitions Updated 2024

GI Tubes {Ans: nasogastric intubation (tube passes through the nose into the stomach via esophagus), orogastric intubation (tube passes through the mouth into the stomach), nasoenteric intubation (tube passes through the nose, esophagus, and stomach to the small intestine), gastrostomy (tube enters the stomach through a surgically created opening into the abdominal wall), and jejunostomy (tube enters jejunum or small intestine through a surgically created opening into the abdominal wall). A gastric tube lies in the stomach; an intestinal tube extends past the pylorus.}GERD Medical and Surgical Management {Ans: Treating GERD begins with conservative measures first, depending on the symptoms and presence of erosive esophagitis. Education and lifestyle changes may include weight loss, maintaining an upright position following meals, elevating the head of the bed when sleeping, avoiding food and fluids 2 to 3 hours before bedtime, and avoiding foods that intensify symptoms. Medications may also be effective. Antacids, whether aluminum, magnesium, or calcium-based, continue to be a primary treatment because they neutralize stomach acids. Generally, histamine type 2 (H2)-receptor antagonists (reduce acid production), proton pump inhibitors (PPIs) (such as Prilosec or Nexium, which blocks acid production), or both are used for 2 to 3 months if GI