Ch.45 Management of patients with oral and esophageal diseases
What symptom describes by the patient is one of the first symptoms associated with esophageal disease ?
Dysphagia
Symptoms of esophageal disease
Dysphagia Odynophagia
Amount of suction drainage expected one day post op for radical neck dissection
80-120mL
A patient tells the nurse that it feels like the food is sticking in the lower portion of the esophagus. What motility disorder does the nurse suspect these symptoms indicate
Achalasia
Nurse interventions for pain from oral CA
Avoid hot spicy foods Oral care Viscous Xylocaine
Complications of Radical neck dissection surgery
Hemorrhage Chyle fistula Nerve injury
Late symptoms of oral CA
Complaints of tenderness Difficulty chewing, swallowing or speaking Coughing up blood tinged sputum Enlarged cervical lymph nodes
What position should a post op radical neck dissection patient be in ?
Fowler position
Periodontal disease can be linked to a variety of other systemic diseases such as
Heart disease, Diabetes & rheumatoid ideas
The nurse observes extensive drooling on a post op assessment of a post op radical neck dissection surgery. What nerve should the nurse assess for damage
Hypoglossal nerve
Excessive reflux may occur because of what?
Incompetent lower esophageal sphincter Pyloric stenosis Hiatal hernia Motility disorder
Digestion normally begins in the _____.
Mouth
The most common site for cancer of the oral cavity is the
Mouth
Management of GERD
Low-fat diet Avoid caffeine, tobacco, beer, milk, foods containing peppermint or spearmint, and carbonated beverages Avoid eating or drinking 2 hours before bedtime Elevate the head of the bed by at least 30 degrees Medications
What intervention can be provided to relieve the discomfort of a patient with a tooth abscess in the early stage ?
Needle aspiration
Early symptoms of oral CA
Painless sore or mass that doesn't heal Indurated ulcer with raised edges May bleed easily Red or white patch
A pt reports inflamed salivary gland below the right ear. the nurse documents probable inflammation of which gland?
Parotid gland
Treatment for achalasia
Pneumatic dilation
What measures can a nurses encourage patients to take to prevent dental caries ?
Practicing effective mouth care Reducing intake of starch & sugars Applying fluoride to teeth or drinking fluorinated water Refrain from smoking Control diabetes Regular dental visits
Patient describes a burning sensation in the esophagus, pain when swallowing and frequent indigestion. What does the nurse suspect ?
These symptoms indicate that the patients may have esophageal reflux disease
What are common morbidities does a nurse identify with a radical neck dissection ?
Shoulder drop Poor cosmetics
The nurse is caring for a patient after drainage of a dentoalveolar or periodical abscess. What should the care of the patient include in the post op phase
Soft diet after 24 hrs External heat by pad or compress to hasten the resolution of the inflammatory swelling Warm saline mouthwashes every 2hrs while awake
On a post of radical neck dissection what find should a nurse immediately report because it may indicate Air way obstruction
Stridor
GERD is associated with
Tobacco use Coffee drinking Alcohol consumption Gastric infection with Helicobacter pylori
Risk factors for oral cancer
Tobacco use alcohol HPV H/O Head and neck CA
Sialadenitis
inflammation of a salivary gland
Sialolithiasis
salivary stones
Nursing management for post-op periapical abscess
Assess for bleeding Instruct to use warm/saline rinse Take antibiotic & analgesic
A patient has been diagnosed with Zener diverticulum. What treatments does the nurse anticipate educating the patient about ?
Surgical removal of diverticulum