GERD QUESTIONS AND ANSWERS RATED A+

GERD QUESTIONS AND ANSWERS RATED A+ GERD gastroesophageal reflux disease GERD manifestations 1 Pyrosis(heartburn) Dyspepsia(acid indigestion) N/V GERD manifestations 2 Coughing Odynophagia Atypical chest pain What can worsen GERD Large meals because too much food stretches the sphincter Maintain a healthy wait is good for gerds True because carrying xtra weigh can push up the acid High impact exercise and eating before workouts is highly recommended False Worst position for GERD patient Recumbent recumbent position lying down in any position Low impact workout is ok with GERD Facts When lying flat on your back it can allow acid to flow back up your esophagus and to reduce this issue try to stay _______ Off their back and right side// sleeping flat on left side is preferred Which side should patient sleep in Flat on the left side and sleeping on an incline or trandelenburg esophagitis inflammation of the esophagus 24 hour esophageal pH monitoring This is done by a probe being inserted in the nose and down the throat it measure ph in esophagus barium swallow and GERD Drinks liquid barium mixture upper endoscopy visual examination of the GI tract, from esophagus to duodenum Esophagel manometey Diagnosis test for GERD Goals for medical management of GERD 1. Improve LES ase esophageal clearance 3. Decrease volume reflex 4. Decrease acidity ct esophageal mucosa GERD patient teaching 1 Eat small meals GERD patient teaching 2 Avoid alcohol spicy food, acidic food coffee and fatty foods GERD patient teaching 3 Don't eat 3 hours before bed time GERD patient teaching 4 Raise HOB GERD patient teaching 5 Weight loss for bariatrics GERD patient teaching 6 Encourage stoping smoking Main treatment for GERD PPI Name the main medication for GERD and the 3 other drugs and what drug should be aboided _______ Ant acids H2 antagonist Prokinetics NSAIDs should be avoided (ibuprofen and asprin) Prokinets increases Gastric emptying Nissen fundoplication a surgical technique used to suture the fundus of the stomach around the esophagus to prevent reflux Nurse Pre-Op Responsibilities for nissen fundoplication Teaching about procedure Post/op care for fundoplication Gag reflex