Nursing Interventions for Hiatal Hernia
October 27, 2010 | In: Nursing Interventions
Nursing Interventions: Hiatal Hernia
- Prepare the patient for diagnostic tests, as needed.
- Administer prescribed antacids and other medications
- To reduce intra-abdominal pressure and prevent aspiration, have the patient sleep in a reverse Trendelenburg position with the head of the bed elevated.
- Assess the patient’s response to treatment.
- Observe for complications, especially significant bleeding, pulmonary aspiration, or incarceration or streangulation of the herniated stomach portion.
- After endoscopy, watch for signs of perforation such as falling blood pressure, rapid pulse, shock, and sudden pain caused by endoscope.
- To enhance compliance, teach the patient about the disorder. Explain significant symptoms, diagnostic tests, and prescribed treatments.
- Review prescribed medications, explaining their desired actions and possible adverse effects.
- Teach the patient dietary changes to reduce reflux.
- Encourage the patient to delay lying down for 2 hours after eating.