Gastroesophageal Reflux Disease (GERD) Flashcards
Meaning of “reflux”
Backward flow
Backward flow or reflux of GI contents into the esophagus
GERD
Most common upper GI disorder
GERD
Common in people over age 45yrs old
GERD
Considered a disease process when acid is excessive and causes undesirable symptoms such as pain and respiratory distress
GERD
Cause: GERD
Inappropriate relaxation of lower esophageal sphincter or inability of the LES to close fully
Diagnostic Tests: GERD
24hr ambulatory esophageal pH monitoring
Upper endoscopy
Esophageal manometry
Diet Therapy: GERD
Avoid caffeinated and carbonated foods
Avoid spicy and acidic foods
Small frequent feedings (4-6 meals)
Avoid food 3hrs before going to bed
Standing, sitting, or high fowlers position after eating
Drug Therapy
Elevates gastric pH and deactivates pepsin
Antacids
Drug Therapy
Side effects are constipation and diarrhea
Antacids
Client instruction for antacids
Take antacid 1hr before and 2-3hrs after meals
Drug Therapy
Suppresses secretion of gastric acid by blocking histamine receptor sites
Histamine Receptor Antagonists (H2RA)
Drug Therapy
Inhibit gastric acid secretion by blocking enzymes associated with the 30-60 minutes before meals
Final stage of acid production
Proton Pump Inhibitors
Drug Therapy
Client instruction for PPI
Should be taken 30-60 minutes before meals
Drug Therapy
Increase rate of gastric emptying and relaxation of the pyloric sphincter
Metoclopramide
