Chapter 54

Question 1

Conditions that increase your risk for developing GERD?

Answer 1

obesity
smoking
ingestion of large meals 
certain foods
anticholinergics

Question 2

Symptoms of GERD

Answer 2

	Heartburn 
	Regurgitation 
	Bloating
	Dental problems
	Nocturnal cough 
	Dysphagia

Question 3

Diet for GERD

Answer 3

no caffeine, spicy foods, alcohol, tomatoes

Question 4

Position after eating for a patient with GERD?

Answer 4

no reclining for 30 min after eating

Question 5

Interventions for the risk of aspiration for GERD?

Answer 5

HOB elevation
avoid tight fitting clothes
weight loss

Question 6

Action of Histamine-2 antagonists

Answer 6

block the release of hydrochloric acid in response to gastrin, promote healing of inflamed esophaegeal tissue,

Question 7

Action of Antacids

Answer 7

neutralizes acid by elevating the pH of gastric contents and deactivating pepsin

Question 8

Drug class if Maalox and Mylanta?

Answer 8

antacids

Question 9

Drug class of famotidine and ranitidine?

Answer 9

Histamine-2 antagonists

Question 10

Drug class of omeprazole, rabeprazole, pantoprazole, esomeprazole?

Answer 10

Proton Pump Inhibitors

Question 11

Action of Proton Pump Inhibitors?

Answer 11

suppress secretion of hydrochloric acid into the lumen

Question 12

Side effect of long term use of proton pump inhibitors?

Answer 12

Proton Pump Inhibitors interfere with calcium absorption and protein digestion. Patients are at greater risk for bone fractures.

Question 13

Describe Barrett’s Esophagitis

Answer 13

caused by chronic gastroesophageal reflux, and is pre-malignant…most cases of esophageal cancer arise from Barrett’s esophagus.