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Gastroesophageal Reflux Disease (GERD) - NCLEX Study
Terms in this set (12)
-Gerd is a common condition characterized by gastric content and enzyme leakage into the esophagus.
-These corrosive fluids irritate the esophageal tissue and limit its ability to clear the esophagus.
Health Promotion and Prevention of GERD
-Maintain BMI below 30
-Drink alcohol in moderation.
Risk Factors for GERD
ingestion of foods that relax lower
•Increased abdominal pressure due to obesity, pregnancy, bending at the
or tight clothing
•Drugs that relax the
• Medications (NSAIDs) or events (stress) that increase gastric acid
Manifestations of GERD
chest pain from esophageal
can lead to
•GERD may mimic a heart attack due to the substernal pain that can
radiate to the jaw and back.
Diagnostic Procedures: Esophagogastroduodenoscopy (EGD)
visualization of the
reveal esophagitis or Barrett's epithelium (premalignant cells).
using moderate sedation to observe for tissue damage (in 60% of
who have GERD) and possibly to dilate structures.
•Verify gag response has returned prior to providing oral fluids or food
following the procedure.
ambulatory esophageal pH
-A small catheter is placed through the client's nose and into the distal
esophagus where pH readings are taken in relation to food, position,
lower esophageal sphincter pressure.
identify a hiatal hernia, which would contribute to or cause
Medications to Treat GERD
-Aluminum hydroxide (Mylanta)
the client to take antacids when acid secretion is the highest (1 to 3 hr after eating and at bedtime), and to separate from other
medications by at least 1 hr.
Medications to Treat GERD cont.
•Histamine2 receptor antagonists reduce
the secretion of acid.
gastric acid by inhibiting the
cellular pump necessary for secretion.
the motility of the esophagus and stomach.
•Monitor client for extrapyramidal side effects.
radiofrequency energy, applied by an endoscope, to the LES
causes the tissue to contract and tighten.
option that may be indicated for clients who fail to respond
fundus of the stomach is wrapped around and behind the
esophagus to create a physical barrier.
•Avoid offending foods.
•Avoid large meals.
•Remain upright after eating.
•Avoid eating before bed.
-fitting clothing around the
•Lose weight, if applicable.
•Elevate the head of the bed 6 to 8
inches with blocks.
•Sleep on the right side.
Complications of GERD
•Aspiration of gastric
of gastric fluids into the esophagus can be aspirated into the
•Risks associated with
upper respiratory, sinus, or ear
epithelium (premalignant) and esophageal
THIS SET IS OFTEN IN FOLDERS WITH...
Med Surg: Upper GI GERD Questions/Rationales
NCLEX GERD Study Questions
Upper GI NCLEX questions
GERD & Hiatal Hernia NCLEX
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