NUR 242 Med surg Exam 3 Study Guide

NUR 242 Med surg Exam 3 Study Guide Chapter 54: Care of Patients with Esophageal Problems, pp. Gastroesophageal Reflux Disease (GERD) • Risk factors include consumption of foods such as caffeine, alcohol, spicy or fried foods, chocolate, and tomatoes. Lifestyle factors play a big part especially alcohol and smoking. • The nursing assessment should include asking about a history of heartburn or atypical chest pain associated with the reflux of GI contents. GERD manifest differently depending on the patient and the severity of the disorder. • Heartburn, dyspepsia, is the most common symptom and may be described as substernal burning moving up and down the chest. Pain usually develops within 30-60 minutes after meals. Severe heartburn pain can radiate to the neck, jaw, or back and patients may think they are having an MI. • GERD symptoms are exacerbated when lying down flat or bending over. Regurgitation may lead to aspiration or bronchitis. These patients are at risk of aspirating when lying flat. Symptoms of GERD include coughing or wheezing at night, dysphagia, belching and nausea, hoarseness, and insomnia. Assess lungs for the presence of crackles.