GERD Flashcards
Factors that determine whether GERD is present
A. Efficiency of antireflux mechanism B. Volume of gastric contents. C. Potency of refluxed materials D. Efficiency of Esophageal clearance E. Resistance of the esophageal tissue to injury and the ability to repair tissue
How to determine Gerd is present
The patient must have several episodes of reflux
One of the main assessments for Gerd.
Heartburn after eating that radiates to arm and shoulders
Other assessments for Gerd
A. Feeling a fullness and discomfort after eating
B. Positive diagnosis determined by fluoroscopy barium swallow, gastroscopy.
Some nursing diagnosis for Gerd
A. Acute pain related to…
B. Deficient knowledge (specify) Related to…
C. Anxiety related to…
Interventions for Gerd
- Encourage small, frequent meals
- encourage elimination of foods that are determined to aggravate symptoms (these foods are client – specific but can include caffeine, catsup, strawberries, and chocolate)
- Encourage client to sit up while eating a remain in and upright position for at least one hour after eating
- encourage client to stop eating three hours before bedtime
- elevate the head of the bed on 6 to 8 inch blocks
- Teach about commonly prescribed medications
How is raising the bed 6 to 8 inches off the ground beneficial
A fowler or semi Fowler’s position is beneficial to reduce the amount of regurgitation as well as in preventing that encroachment of the stomach tissue upward through the opening of the diaphragm
What are some things you need to teach a patient about Gerd or a hiatal hernia?
- Differentiate between the symptoms of I don’t hernia and those of MI
- Be alert to possible aspirations
- Give information about drugs used for treatment
How does GERD come about?
Is the result of an incompetent LES that allows regurgitation of Gastric contents into the esophagus
