Gastroesophageal Reflux Disease GERD

Topics: Gastroesophageal reflux disease, Stomach, Gastric acid Pages: 19 (421 words) Published: December 4, 2014
GASTROESOPHAGEAL
REFLUX DISEASE (GERD)

BY: DANIELLE STEVENSON

THE ESOPHAGUS IS A TUBE THAT
CONNECTS FROM THE THROAT TO THE
STOMACH

WHAT IS GERD?
•Chronic digestive disease
•Occurs when stomach acid
backflow into esophagus
•Acid irritates esophagus lining

NORMAL ESOPHAGUS VS
GERD

S&S
•Dyspepsia

•Heart Burn
•Nausea
•Chest Pain
•Sore throat

(Indigestion)

•Regurgitation
•Dysphagia
(difficulty swallowing)

•Hyper salivation

RISK FACTORS

1.Hiatal Hernia
2.Diet- Foods that relax LES
3.Drugs-Relax LES

DIAGNOSTIC PROCEDURES

•Esophagogastroduodenoscopy
(EGD)
•Esophageal pH monitoring
•Barium swallow
•Esophageal manometry

NURSING INTERVENTION

• Obtain signed consent from client
• Educate client on all procedures
•Verify gag reflex returns postprocedure
• Instruct client to keep a diary of
symptoms

MEDICATIONS
•Antacids
•Proton Pump Inhibitor (PPI)
•Histamine (H2) Receptor
Antagonist
•Prokinetics

NURSING CONSIDERATION
FOR MEDS
•Antacids: Ensure drug isn't contraindicated
with other meds
•H2 Receptor Antagonist/PPI: Use
cautiously in clients with COPD
• Prokinetic: Monitor client for
extrapyramidal side effects
1. Parkinsonism
2. Tardive dyskinesia
3. Dystonic reactions

WHO’S PAYING ATTENTION?

NCLEX QUESTIONS!
Which of the following classifications of
medications will help relieve symptoms of GERD?
(Select All That Apply)
A.
B.
C.
D.
E.

Antacid
Histamines (H2) receptors antagonist
Opioid analgesics
Fiber laxatives
Proton Pump Inhibitors

Correct Answers: A, B, and E
Rationale: Antacids neutralize gastric acids,
histamines (H2) receptors antagonists
decrease the secretion of gastric acid, and
proton pump inhibitors decrease the
production off gastric acid.
D,C: Opioids analgesics and fiber laxatives
are not effective in treating symptoms of
GERD.

A client who has been diagnosed with
gastroesophageal reflux disease (GERD)
complains of heartburn. To decrease the
heartburn, the nurse should instruct the client
to eliminate which of the following items
from the diet?
A. Lean beef.
B. Air-popped popcorn.
C. Hot chocolate.
D. Raw vegetables.

Correct Answer: C
Rationale: Foods that can cause a decrease in
esophageal sphincter pressure include fatty foods,
chocolate, caffeinated beverages, peppermint, and
alcohol.
A,B,D: Lean beef, air-popped popcorn, and raw
vegetables would be acceptable for a client
diagnosed with GERD.

The client attends two sessions with the dietitian to learn about diet modifications to minimize gastroesophageal
reflux. The teaching would be considered unsuccessful if the client says that she will decrease her intake of which of the following foods?
A.
B.
C.
D.

Chocolate
Grapefruits
Coffee
Grilled chicken

Correct Answer: D
Rationale: Grilled Chicken, is
acceptable for a client with GERD.
A,B,C: Chocolate, grapefruit, and coffee
are all contraindicated in clients with
GERD

REFERENCES
http://
www.mayoclinic.org/diseases-conditions/gerd/basics/definit
ion/con-20025201
PN Adult Medical Surgical Nursing Edition 8.0, ATI Nursing
Education page, 485, chapter 42.



References: http://
www.mayoclinic.org/diseases-conditions/gerd/basics/definit
ion/con-20025201
PN Adult Medical Surgical Nursing Edition 8.0, ATI Nursing
Education page, 485, chapter 42.
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