Class notes
GI Notes
GI notes for NUR 110
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Seller
Follow
Content preview
NUR 110 GI 2 NotesOral Disorders
- Primary focus of mouth care is to lessen the amount of bacterial film that accumulated
on teeth, around gums, in saliva
- Brush teeth w/ soft brush 2x daily & hold at 45 degree angle, floss 1x daily, use anti
plaque mouth rinse, visit dentist q 6 mo., avoid alcohol/tobacco products, avoid sweets,
replace toothbrush q 2 mo.
Temporomandibular Joint Disorders
- Originate in joint capsule/involve muscle tissue that surrounds joint support
Clinical Manifestations
- Pain w/ mastication/ pain in joint are common for TMJ
- Restricted jaw motion & locking of jaw
- clicking/grating noise & chewing & swallowing may be difficult
- MRI, XR, arthrogram may be performed
Medical Management
- Nonsurgical: occlusal guards are used w/ stress management to prevent further
deterioration of tooth surface & irritation of joint (ROM exercise w/ pain management
meds)
- Intraoral orthotics worn to reposition condyle head in joint space to normal,
relieves stress & pressure of joint on tissues
- Surgical: Rigid palate fixation is insertion of metal plates & screws into bone to stabilize
bone
- Wiring jaw shut for multiple weeks is used in case of jaw fracture & bone grafting
can be used to replace structural defects
Nursing Management
- No chewing food for 1-4 weeks postop, liquid diet recommended w/ diet counseling
- Pt should have wire cutters/scissors to release jaw if pt is vomiting
- Pt & family are instructed on how to cut the wires for d/c
- Rigid fixation remind for 6 weeks depending on pt age, bone condition, & mandible injury
extent
Disorders of Salivary Glands
Sialadentitis: bacterial/viral infection of salivary glands caused by dehydration, radiation
therapy, stress, malnutrition, salivary gland calculi, or improper oral hygiene
- Tx: Abx, massage, hydration, warm compresses, corticosteroids
- Chronic sialadenitis w/ uncontrolled pain is treated by surgical drainage of gland/excision
of gland & ducts
Parotitis: inflammation of parotid gland, most common salivary gland condition
- Parotids are the largest salivary glands
- Mumps: epidemic parotitis; communicable disease affecting kids & inflammation
- Pt elderly, acutely ill, debilitated w/ decreased salivary flow from general dehydration/
meds are at high risk for parotitis
- Onset of Strep is fever, swollen glands, ear pain, swollen glands interfere w/ swallowing,
skin becoming red & shiny
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller shannagonzalez. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
65507 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now