Exam 2: Chapter 45 - GERD Flashcards
What Is Gastroesophageal Reflux Disease
Fairly common disorder marked by backflow of gastric or duodenal contents into the esophagus that causes troublesome symptoms and/or mucosal injury to the esophagus
Excessive reflux may occur because of
incompetent lower esophageal sphincter, pyloric stenosis, hiatal hernia, or motility disorder
GERD is seen in patients with
irritable bowel syndrome and obstructive airway disorders, BE, Peptic Ulcer Disease, and Angnia
GERD is associated with
tobacco use, coffee drinking, alcohol consumption, and gastric infection
Symptoms of GERD?
Pyrosis (Heartburn burning sensation in esophagus) Dyspepsia (Indigestion) Regurgitation Dysphagia /Odynophagia Hypersalivation Esophagitis
GERD symptoms may mimic those of
a heart attack
GERD Complications
Dental Erosion Ulcerations in the Pharynx and Esophagus Laryngeal Damage Aspiration Scar Tissue
GERD Diagnosis
Barium Swallow
Endoscopy
Ambulatory 12-36 hour esophageal pH monitoring used to evaluate degree of acid reflux
GERD Therapeutic Interventions
Lifestyle Changes
Medications (Antacids, H2 Receptor, PPI, Prokinetic Agents)
Fundoplication
GERD Complications
Esophagitis Barretts Esophagus Bronchospasm Larygeospasm Aspiration Pneumonia
GERD Nursing Diagnosis
Acute Pain
GERD Nursing Care
Education (Lose Weight, Low-Fat, Avoid Caffeine and Milk Products, Tobacco, Beer and Spicy Foods
Management of GERD: Diet
Have a low-fat diet
Managemet of GERD: Avoid
CAffeine, tobacco, beer, milk, foods containing peppermint or spearmint
Management of GERd: Avoid eating or drinking…
2 hours before bedtime
