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unit 9 GASTROINTESTINAL
GASTROESOPHAGEAL REFLUX (GERD)
17
Nursing
Undergraduate 1
04/05/2011

Additional Nursing Flashcards

 


 

Cards

Term

 

GASTROESOPHAGEAL REFLUX (GERD) CAUSE

 

Definition

 

INCOMPETENT CARDIAC (LES) SPHINCTER DOES NOT CLOSE FULLY


 

Term

GASTROESOPHAGEAL REFLUX (GERD) MAY BE R/T 

Definition

SPHINCTER ITSELF BEING INCOMPENTENT
ABNORMAL ANGLE AT JUNCTION
ABNORMAL INNERVATION OF AREA

Term

GASTROESOPHAGEAL REFLUX (GERD)

deff. 

Definition

ACIDIC GASTRIC CONTENTS RUN UP INTO ESOPHAGUS WHICH HAS NO PROTECTIVE MUCOSA

CAUSES GI PAIN

SPILL-OVER CAUSES CHANGES IN TRACHEAL TISSUE 

Term

GASTROESOPHAGEAL REFLUX (GERD)

RISK FACTORS

Definition

ANY CONDITION WHICH CAUSES INCREASED PRESSURE ON STOMACH (SQUEEZES CONTENTS UPWARD)

OBESITY

PREGNANCY

FOODS WHICH CHEMICALLY DECREASE LOWER ESOPHAGEAL SPHINCTER (LES) TONE

ETOH, PEPPERMINT, LICORICE, CAFFEINE, TOBACCO, CARBONATED BEVERAGES

Term

GASTROESOPHAGEAL REFLUX (GERD)

CLINICAL MANIFESTATIONS

Definition

EPIGASTRIC PAIN & DISCOMFORT, REGURGITATION, HEARTBURN, CHEST PAIN , MUST R/O MI

Term

GASTROESOPHAGEAL REFLUX (GERD)

COMPLICATIONS

Definition

 

ESOPHAGITIS – INFLAMMATION OF THE LINING OF THE ESOPHAGUS CAUSES

PAINFUL OR DIFFICULT SWALLOWING

ESOPHAGEAL ULCERATION CAUSES SLOW BLEEDING LEADING TO ANEMIA OVER TIME

ESOPHAGEAL STRICTURES & CANCER

RESP. DISTRESS R/T ASPIRATION PNEUMONIA & TISSUE CHANGES IN RESP TRACT LEADING TO BRONCHITIS 

 

Term

GASTROESOPHAGEAL REFLUX (GERD)

DIAGNOSTIC TESTS

Definition

BARIUM SWALLOW, SHOWS ESOPHAGITIS & STRICTURE ENDOSCOPY & BIOPSY

CONFIRMS ESOPHAGITIS STOOL FOR GUIAC MAY BE POSITIVE

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

Definition

DRUGS H2 BLOCKERS TO SUPPRESS ACID FORMATION TO PREVENT INJURY TO ESOPHAGUS

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

DRUGS PEPCID, AZID, ZANTAC 

Definition
CIMETADINE RARELY USED R/T CAUSES CONFUSION & BLOOD DYSCRASIAS
Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

DRUGS: PROTON PUMP INHIBITORS 

Definition

TO SUPPRESS LAST STEP OF ACID FORMATION

PRILOSEC, PREVACID, PROTONIX

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

DRUGS: GI MOTILITY AGENTS

Definition

REGLAN

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

DRUGS: GI ANTACIDS 

Definition

TO DECREASE DAMAGE TO ESOPHAGUS BY NEUTRALIZING ACIDS

MAALOX, MYLANTA, TUMS (ESP. GOOD FOR ELDERLY WOMEN R/T CA++)

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

NURSING

DIETARY

Definition

SMALL FREQ. MEALS

REMAIN UPRIGHT FOR 2 HRS. AFTER MEALS

NO EATING AT BEDTIME

AVOID FOODS, SUBSTANCES, & BEVERAGES WHICH DECREASE CARDIAC SPHINCTER FUNCTION & CAUSE ESOPHAGEAL IRRITATION

ETOH, PEPPERMINT, LICORICE, CAFFEINE, TOBACCO, CARBONATED BEVERAGES

LOW FAT, HIGH FIBER
Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

NURSING TEACHING

Definition

SLEEP WITH HOB ON 3-4 INCH BLOCKS

WT. LOSS IF OBESE

AVOID BEHAVIORS WHICH INCREASE ABD. PRESSURE

VALSALVA, LIFTING, STRAINING, TIGHT CLOTHES 

Term

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

MANAGEMENT

SURGICAL -FUNDOPLICATION

Definition

WRAP STOMACH FUNDUS AROUND CARDIAC SPHINCTER TO KEEP IT FROM OPENING & CAUSING REFLUX

TODAY MAY BE DONE VIA LAPOROSCOPE
MONITOR FOR NAUSEA & GASTRIC DISTENTION POST-OP R/T PT. UNABLE TO VOMIT OR BELCH POST-OP

Term

 

GASTROESOPHAGEAL REFLUX (GERD)

MEDICAL MANAGEMENT

MANAGEMENT

SURGICAL - ANGELCHIK

 

Definition

 

ANTIREFLUX PROSTHESIS

C-SHAPED GEL FILLED SYNTHETIC RING APPLIED AROUND DISTAL ESOPHAGUS

  

 

Term

ANGELCHIK

SIDE EFFECTS 

Definition
 DYSPHAGIA, ACHALASIA  
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