Causes
Complications
Diagnotic Studies
Nursing Considerations
Treatment
100
This acts as an anti reflux barrier
What is Lower Esophagus Sphincter?
100
This is a general term for any inflammation, irritation, or swelling of the esophagus. It is also one of the most common complications of GERD.
What is Esophagitis?
100
a clinical examination is the process by which a doctor investigates the body of a patient for signs of disease
What is physical Exam?
100
This type of food should be avoided by clients who are prone to develop heartburn as a result of gastroesophgeal reflux disease (GERD)?
What is Chocolate? Rationale: Ingestion of chocolate can reduce lower esophageal sphincter (LES) pressure leading to reflux and clinical symptoms of GERD. All of the other foods do not affect LES pressure.
100
This is a non-pharmacological way to treat GERD
What is Change in Diet / nutrition?
200
At Greater risk factor for Gastro Esophageal Reflux Disease (GERD)
What is pregnant woman?
200
a condition in which the normal squamous epithelium of the esophagus has been replaced by an abnormal red columnar epithelium
What is Barrett’s esophagus (esophageal metaplasia)?
200
Measures the acidity of stomach
What is pH test?
200
Gastroesophageal reflux disease (GERD) weakens the lower esophageal sphincter, predisposing older persons to risk for impaired swallowing. In managing the symptoms associated with GERD, the nurse should assign the highest priority to what?
What is Eating small, frequent meals, and remain in an upright position for at least 30 minutes after eating?
200
This a conservative intervention a nurse could recommend to a patient without a doctor
What is Avoidance of positions and conditions that increase gastric reflux Avoidance of large meals, have frequent small meals throughout the day instead Avoid caffeine, fats, chocolate and smoking Eat meals sitting up Bending for long periods should be avoided because it increases intra-abdominal pressure and increase gastric reflux. Sleeping with head elevated helps prevent gastric reflux at night Weight loss is recommended for overweight people
300
Allows gastriccontents move from the stomach to the esophagus when the patient is supine or has an increase in intraabdominal pressure
What is incompetent Lower Esophagus Sphincter?
300
This permanent loss of all or part of a tooth due to the gradual chemical breakdown of the tooth.
What is Dental Erosion?
300
A test that allows a doctor to examine the inside of a pt's esophagus, stomach & duodenum
What is upper endoscopy?
300
This is the most frequently used diagnostic test for persons with GERD
What is a barium swallow. Rationale: Persons with GERD should be referred to a primary care provider for a thorough cardiac evaluation to rule out cardiac disease. The most frequently used diagnostic test is barium swallow. Upper endoscopy is the best method to assess mucosal injury. Acid perfusion tests usually are not necessary, and require the placement of an esophageal probe above the esophageal sphincter to collect esophageal contents.
300
These are a group of drugs whose main action is a pronounced and long-lasting reduction of gastric acid production
What are Proton-pump inhibitors?
400
This can be due to certain foods such as caffeine, chocolate and Drugs such as anticholinergics
What is decreased LES pressure?
400
These spasms are frequently misunderstood by the patient to be cancer due to the 'lump in the throat' feeling that is symptomatic of this syndrome.
What is Cricopharyngeal spasm?
400
Diagnostic test in which barium is used to diagnose abnormalities of the digestive tract.
What is Barium X-ray?
400
List atleast 2 initial management of a patient suspected of having GERD?
What is * Change diet to avoid foods known to induce reflux (e.g., chocolate, alcohol, and coffee). * Stop smoking. * Elevate the head of the bed 4-5 inches. * Take antacids when symptomatic. * Weight loss can be very effective in reducing GERD symptoms.
400
A surgical procedure to treat gastroesophageal reflux disease (GERD) and hiatus hernia
What is Nissen fundoplication?
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