GERD

Question 1

GERD

Answer 1

Is a chronic, digestive disease that occurs when stomach acid backs up into the esophagus. The acid irritates the lining of the esophagus causing signs and symptoms of GERD

Question 2

Symptoms of GERD

Answer 2

1. Heartburn
2. Chest Pain
3. Sour or bitter regurgittion
4. Burning in the throat
5. Night time coughing

Question 3

when Tests needed for GERD

Answer 3

1. Atypical symptoms
2. Reflux that does not respond to treatment
3. Doctor suspects injury to esophagus

Question 4

Treatment of GERD

Answer 4

1. Dietary changes
2. Lifestyle changes
3. Medications

Question 5

Causes of GERD

Answer 5

1. Hiatel hernia
2. Incompetent lower esophageal sphincter
3. Decreased esophageal clearance
4. Decreased gastric emptying

Question 6

Assessment of GERD

Answer 6

1. Heartburn
   
   1. Burning sensation
   2. Beneath lower sternum
2. Pulmonary symptoms
   
   1. Wheezing
   2. Coughing
   3. Dyspnea
3. Children
   
   1. Recurrent vomiting
   2. Dysphagia
   3. Regurgitation
   4. Abdominal pain
   5. Heartburn
   6. Refusal to eat
   7. Poor weight gain
   8. Chronic cough
   9. Hoarseness

Question 7

Diagnotic Testing GERD

Answer 7

• Endoscopy-esophagogastro-duodenoscopy
• Barium swallow
• esophageal pH monitoring

Question 8

Nursing Diagnoses for GERD

Answer 8

1. Acute pain r/t irriation of esophagus from gastric acids
2. Risk for aspiration r/t entry of gastric contents in tracheal or bronchial tree
3. Deficient Knowledge r/t lack of exposure

Question 9

Assessment of GERD

Answer 9

1. VS, respiratory
2. Pain assessment

Question 10

Medication teaching GERD

Answer 10

1. Antacids
2. Antiemetic, prokinetic
3. Histamine receptor antagonist
4. Mucosal protective
5. Proton pump inhibitor

Question 11

Nutrition for GERD

Answer 11

1. High protein low fat diet
2. Small frequent meals
3. Avoid chocolate, peppermint, caffeine, alcohol

Question 12

Signs/Symptoms to Report GERD

Answer 12

1. Chronic heartburn and regurgitation
2. Persistent dysphagia, epigastric fullness and bloating

Question 13

Prevention of GERD

Answer 13

1. Eat high protein, low fat
2. Eat small frequent meals
3. Sleep with HOB elevated
4. Lose weight if overweight
5. Do not lie down for 2-3 hours after eating
6. Do not wear tight clothing around the waist
7. Do not bend over after eating
8. Avoid alcohol, smoking, caffeine

Question 14

Surgical Management of GERD

Answer 14

1. Nissen Fundoplication, involves 360 degree wrapping of fundus of stomach around the distal esophagus
2. Post op prevention of resp. complications
3. Maintain F+E balance
4. Prevent infection