GERD Flashcards
It is the backflow of gastric and duodenal contents into the esophagus
GERD
It is the narrowing if pyloric sphincter
Pyloric Stenosis
Causes of GERD (BENGXH)
- Beta-adrenergic agents
- Elevated Estrogen/progesterone levels
- Nicotine
- Ganglionic Stimulants
- Xanthine-derivatives
- High Fat Foods
Assessment (GERD) = WHENDODE
- Water Brash
- Heartburn
- Epigastric Pain
- Nausea/Vomiting
- Dyspepsia
- Odynophagia
- Dysphagia
- Eructation
Initial Sign of GERD
Heartburn
Mixture of spit and stomach acid that causes unpleasant, sour taste in the mouth
Water brash
Release of air or gas from stomach to mouth
Eructation
What foods/drink should a client with GERD avoid? (4CsFAP)
- Coffee
- Carbonated beverages
- Cigarette Smoking
- Chocolate
- Fried or fatty foods
- Alcoholic beverages
- Peppermint
Diet of patient with GERD
Low fat
High Fiber
High protein
When should you instruct client to avoid eating and drinking? Rationale
2 hours before bedtime (R: constricts stomach)
How many inches should HOB elevated?
6-8 inches block
What medications should be avoided? (MAN)
Meds that contain acetylsalicylic acid
Anticholinergics
NSAIDs
Surgery for GERD which is the wrapping a portion if the gastric fundus around sphincter area of esophagus
Nissenfundoplication surgery/ Gastric Wrap around
Nursing Interventions
- Instruct client to avoid the following: Coffee, Carbonated beverages, Cigarette smoking, chocolate, Fried or fatty foods, Alcoholic beverages, Peppermint
- Instruct to eat low fat, high fiber, high protein
- Instruct to avoid eating and drinking 2hours before bedtime, and wearing tight clothes (constrict stomach)
- Instruct to elevate head of bed 6-8 inch blocks
- Avoid use of anticholinergics, NSAIDs, and other meds containing acetylsalicylic acid
- Instruct client regarding prescribed meds, such as antacids, H2 receptor antagonists, or PPI
- Instruct client regarding the administration of prokinetic medications if prescribed
- Surgery: Nissenfundoplication Surgery/ Gastric Wrap Around
Nutrition and Lifestyle management
1. Eliminate foods like TCCS
2. Avoid FAPAC
3. Eat smaller meals, refrain from eating ______ before bedtime
4. Stay ____ for ___ after meals
5. Elevate HOB on ______
6. stop ____
7. Avoid ____ clothing and ____
8. Avoid very ___ and ____ foods
9. Avoid SP
- Eliminate foods like tomato products, citrus fruits, spicy foods, and coffee (considered acidic = decreases LES pressure)
- Avoid fatty foods, chocolate, peppermint, and alcohol (decrease LES pressure)
- Eat smaller meals, refrain from eating 3 hours before bedtime
- Stay upright (semi fowlers) for 2 hours after meals
- Elevate HOB on 6-8 inches blocks often
6.Stop smoking - Avoid tight clothing and bending
- Avoid very hot, very cold foods
- Avoid salicylates (aspirin), phenylbutazone (NSAID) (increased HCl secretion)
