heartburn/gerd Flashcards
1
Q
simple heartburn def
A
burning sensation behind the breastbone
2
Q
heartburn nondrug, diet
A
- avoid triggers
- limit EtOH, caffiene
- avoid large meals
- reduce dietary fat
3
Q
heartburn nondrug, clothes
A
avoid tight fitting clothes
4
Q
heartburn nondrug, sleep
A
if nocturnal symptoms present:
- don’t eat within 3 hours of bedtime
- elevate head 6-8 in
- don’t use reg pillows
5
Q
frequent heart burn is
A
=> 2 times a week
likely GERD
6
Q
referral, pregnancy
A
if freq and mod-severe
7
Q
referral, length
A
> 3 months
2 weeks on H2 blockers/PPI
within 4 months of previous treatment
8
Q
referral, if you can’t
A
swallow (dyphagia) or painful swallowing
9
Q
referral, meds
A
warfarin, clopidogrel, ketoconazole,
phenytoin, diazepam, methotrexate,
theophylline, tacrolimus, digoxin
10
Q
referral, symptoms
A
- keeps you up at night
- chest pain
- SOB
- N/V/D
