Hernia hiatal

FEF Forced expiratory flow rate HH Hiatal hernia... 

CHF, cardiac arrhythmias, tachycardia, hypertension, hiatal hernia, and prostatic hypertrophy may be aggravated. 

Gl - Hepatic disease early evidence of ileus, as in peritonitis ulcerative colitis hiatal hernia associated with reflux esophagitis. 

Alginic Acid + Aluminum Hydroxide Magnesium Tnsilicate (Gaviscon) [Antacid] [OTC] Uses Heartburn hiatal hernia pain Action Protective layer blocks gastric acid Dose 2—4- tabs or 15-30 mL PO qid followed by H2O Caution [B, -] Avoid in renal impair or Na -restricted diet Disp Tabs, susp SE D, constipation Interactions T Absorption OF tetracyclines EMS None OD May cause constipation, loss of appetite, muscle weakness, and peripheral edema symptomatic and supportive... 

Calcium Acetate (PhosLo) [Calcium Supplement/ Anti arrhythmic/Mmeral/ Electrolyte] Uses ESRD-associated hyper-phos-phatemia Action Ca " supl w/o aluminum to X P04 absorption Dose 2-4 tabs PO w/ meals Caution [C, ] Contra t Ca Disp Gelcap SE Can t Ca, hypophosphatemia, constipation Interactions t Effects OF quinidine X effects W/ large intake of dietary fiber, spinach, rhubarb X effects OF atenolol, CCB, etidronate, tetracyclines, fluoroquinolones, phenytoin, Fe salts, thyroid hormones EMS Pts have reduced renal Fxn, monitor ECG for signs of electrolyte disturbances OD S/Sxs of hypercalcemia (confusion, weakness, GI upset, constipation, N, V, and cardiac arrhythmias) give IV fluid for diuresis symptomatic and supportive Calcium Carbonate (TumS/ Alka Mints) [Antacid/ Calcium Supplement/Mineral/ Electrolyte] [OTC] Uses Hyperacidity associated w/ peptic ulcer Dz, hiatal hernia, etc Action Neutralizes gastric acid Dose 500 mg—2 g PO PRN -1- in renal impair Caution [C, ] Disp Chew tabs, susp SE t -1- PO constipation Interactions X Effect OF tetracyclines, fluo-... 

Contraindications GI disease, including dysphagia, frequent heartburn, gastrointestinal reflux disease, hiatal hernia, and ulcers inability to stand or sit upright for at least 30 minutes renal impairment sensitivity to alendronate... 

Contraindications Glaucoma, obstructive uropathy, obstructive disease of Gl-anti-cholinergic tract, paralytic ileus, intestinal atony of the elderly or debilitated patient, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis especially if complicated by toxic megacolon, myasthenia gravis, hiatal hernia associated with reflux esophagitis, hypersensitivity to any component of f he formulaf ion, acuf e infermiffenf porphyria. 

Active upper gastrointestinal disease (peptic ulcers, hiatal hernia, dyspepsia, esophagitis)... 

Caution Hyperthyroidism, hepatic or renal disease, hypertension, tachyarrhythmias, CHF, coronary artery disease, gastric ulcer, esophageal reflux or hiatal hernia associated with reflux esophagitis, infants, elderly persons, systemic administration in those with COPD... 

Caution Treated open-angle glaucoma, autonomic neuropathy, pulmonary disease, esophageal reflux, hiatal hernia, heart disease, hyperthyroidism, hypertension... 

Caution Prostatic hypertrophy, history of urinary retention or obstruction, glaucoma, diabetes mellitus, history of seizures, hyperthyroidism, cardiac/hepatic/renal disease, schizophrenia, increased intraocular pressure, hiatal hernia... 

Menstrual losses of blood average 28 milligrams monthly. One in four college-age women are iron deficient, possibly due to ignoring the need for increased iron intake prior to and during menstruation. Diseases that cause iron deficiency are colon cancer, hiatal hernia, ulcers, hemorrhoids, bladder tumor, and diverticulosis. Soft drinks high in phosphates cause iron to be excreted in the urine. Lack of copper or manganese in the diet reduces iron assimilation, as does a deficiency of vitamin C. Oxalic acid foods, such as chard and rhubarb, can block iron intake. 

Kahrilas P. Hiatal hernia. Program and abstracts of Digestive Disease Week 2000 (May) San Diego, California. Session 521. 

W4. Woodruff, G. G., Sucrosuria in association with mental deficiency and hiatal hernia. J. Pediat. 62, 66-72 (1958). 

Propantheline should be administered cautiously in patients with autonomic neuropathy, hyperthyroidism, coronary artery disease, cardiac arrhythmias, CHF, or ulcerative colitis because the drug may exacerbate symptoms of these disorders in patients with hepatic or renal disease because toxic accumulation may occur in patients over age 40 because the drug increases glaucoma risk in patients with hiatal hernia associated with reflux esophagitis because the drug may decrease lower esophageal sphincter tone and in hot or humid environments because the drug may predispose the patient to heatstroke. 

The home health nurse is caring for a male client diagnosed with a hiatal hernia and reflux. Which data indicates the medication therapy has been effective ... 

The nurse is discharging a client 2 days postoperative hiatal hernia repair. Which discharge instructions should the nurse include Select all that apply. 

Losing weight would not indicate that a medication for hiatal hernia is effective. 

Hiatal hernia repair may not last and the ehent should eontinue the recommended lifestyle modifieations, such as eating small meals. 

Part of the lifestyle modifieations for hiatal hernia is to limit pressure on the abdominal eavity, especially after a meal. Using the leg muscles to bend down, rather than bending over, should be taught to the client. 

Use with caution in persons with gastroesophageal reflux or with a hiatal hernia, as peppermint may decrease esophageal sphincter pressure (Drinker 2001 Hiki et al. 2003 Hills and Aaronson 1991 Mills and Bone 2005). 

Peppermint essential oil has been shown to relax the smooth muscles of the gastrointestinal tract (McKay and Blumberg 2006), which may exacerbate gastroesophageal reflux or hiatal hernias. 

Complications 89 Congenital Esophageal Stenosis 90 Esophageal Duplication 91 Esophageal Bronchus 91 Vascular Ring Abnormalities 93 Hiatal Hernia 94... 

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