NUR 105 GI 1
1. GERD
Answer Gastroesophageal reflux (GER) occurs as a result of backward flow (reflux) of stomach contents into the esophagus
- What plays a key role in returning refluxed contents from the esophagus back to the
stomach?
Answer Gravity
Saliva Peristalsis
- Erosion of Esophagus From Reflux
Answer Reflux Esophagitis
- What is Barrett's esophagus?
Answer As the esophagus tissues attempts to heal, the body may substitute normal epithelial cells of the esophagus with squamous cell epithelium
considered premalignant
- What can uncontrolled GERD lead too?
Answer Asthma Laryngitis
Dental Decay cardiac disease aspiration pneumonia hemorrhage
- What prevents backflow of stomach contents into the esophagus? 1 / 3
Answer (LES) Lower Esophageal Sphincter
-When this sphincter has decreased tone, pressure present, or relaxes too much, reflux occurs
- Clinical Manifestations of GERD
Answer heartburn regurgitation
belching bitter taste gum irritation globus sore throat hoarseness aspiration dysphagia
- GERD diagnostic assessment
Answer 24 hour ambulatory pH monitoring
-most accurate -catheter through nose into the esophagus
EGD (endoscopy) -Diagnoses and evaluates reflux esophagitis and Barrett's Esophagus
- GERD interventions
Answer -less fatty food / alcohol
-more whole grains / fibers -lifestyle changes -stop smoking -lay side lying (right) -refrain from bending over -reduce weight
- GERD drug therapy 2 / 3
Answer -Antacids
-Histamine Receptor Antagonist -Prokinetics -Dexilant -PPI
- Antacids
Answer -short acting
-Do not give with other medications due to decreased absorption
-EX
Tums, Mylanta, Maalox, Gaviscon
- Histamine Receptor Antagonist
Answer -decreases acid secretion from parietal cells
-take before meals
-EX
Pepcid, Axid, Tagamet
- Prokinetics
Answer -increase gastric emptying and improve LES pressure
-EX
Reglan
- / 3