• Stomatitis and care o What is stomatitis? ▪ Inflammation within the oral cavity. o Assessment of Stomatitis: ▪ Blisters in the oral cavity with pain and swelling ▪ Fever ▪ Difficulty Eating and drinking. o Nursing Interventions: ▪ Provide frequent oral care (q 2hrs) • Mouth rinsing with saline, baking soda ▪ Monitor VS (temp) ▪ Monitor I&O ▪ Be alert for sx of dysphagia (risk for aspiration) ▪ Offer bland, nonacidic foods – cool liquids ▪ Apply topical analgesics o Meds: ▪ Tetracycline Syrup ▪ Minocycline, chlorhexidine mouthwash ▪ Acyclovir ▪ Nystatin oralsuspension • Leukoplakia vs. Erythroplakia o Leukoplakia: thickened, white patchesthat cannot be easily flaked off ▪ Usually benign o Erythroplakie: red, velvety mucosal leasion ▪ Considered precancerous ▪ Most commonly on floor of mouth Ch. 54 – Care of Patients with Esophageal Problems • GERD risk factors and treatment o Risk factors: ▪ Obesity/overweight ▪ Hiatal hernias o Treatment: ▪ Nutrition Therapy, lifestyle changes and drug therapy. ▪ Nutrition: eliminate foodsthat decrease LES pressure (peppermint, chocolate, alcohol, fatty foods, caffeine, carbonated beverages, spicy/acidic food) ▪ Lifestyle changes:smoking cessation, decrease size of meals, avoid eating atleast 3 hours before bed. Sleed 6-12 elevated.