GERD Flashcards
it is a Incompetent closure of the Lower esophageal sphincter/ Failure to close the valves
Gerd
it is a stimulation that the acid from the stomach back to the esophagus
Reflux
it is a stimulation that the acid from the stomach back to the mouth
Regurgitation
the best S/sx of the Gerd*
Heartburn/ Pyrosis
what medication can role out the GERD
omeprazol (PPI)
If the LES weakens or becomes strained, stomach acid can flow back through your esophagus. This constant reflux can inflame the esophageal lining and trigger called?
hypersalivation= water brash/ sialorrhea
BQ: what do you call the Inflammation of the Stomach*
Gastritis
what do you call the Inflammation of the Esophagus
Esophangitis
considered a precancerous lesion and increases the risk for esophageal cancer.
Barretts Esophagus
what is the leading cause? and what is the other causes
- unknown
- reflexogenic diet (CASH)
(Coffee Citrus fruits carbonated drinks, Alcohol, Spicy Foods/Smoking, High fat diet) - pyloric stenosis
4.motility disorder - Hiatal Hernia
most common cause of hiatal hernia?
pyrosis/ Heartburn
Dx test of GERD
- Endoscopy/ Esophageal gastroduodenoscopy
- UGIS- Upper GI Series (Barium Swallow)
Nursing Consideration of Endoscopy/ EGD
post procedure assess the return of the gag reflex
Nursing consideration of UGIS (Barium swallow)
post barium swallow need to INCREASED OFI & INCREASED FIBER to secret the barium sulfate. Average excretion 2-3days with white stools
what are the drug of choice of GERD*
- Antacid- neutralizes of hydrochloride acid. take 1-2 hrs after meal (SMAC)
Sodium bicarbonate- supracid
Magnesium Hydroxide-s/e Diarrhea
Aluminum Hydroxide: S/e constipation
Calcium carbonate - H2 receptor blocker “TIDINE”
to DECREASED HCL ACID, take HS - PPI “PRAZOL”
DECREASED HCL ACID, Take ac
except aripiprazole because it is a antipsychotic drug
