Chapter 54-test2 Flashcards Preview

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Flashcards in Chapter 54-test2 Deck (20):
1

Factors contributing to GERD

Caffeinated beverages
Chocolate
Citrus fruits tomatoes
Smoking
Calcium channel blockers
Nitrates
Peppermint
Alcohol
Anticholenergic drugs
High estrogen progesterone
Ng tube

2

Eructation

Belching

3

Odynophagia

Painful swallowing

4

Barium swallow

Shows hiatal hernias
Strictures
Obstructions

5

Antacids

Increase pH level of gastric contents
This deactivates pepsin
Short acting

6

Antacid examples

Maalox
Mylanta

Have aluminum hydroxide and magnesium hydroxide
1 hour before
2-3 hours after meal

7

Histamine blockers

Decreased acid secretion

8

Histamine blocked examples

Pepcid
Zantac
Long acting

9

PPI

Inhibit partial cells

10

PPI examples

Omeprazole
Pantoprazole
Esomprazole

30-60 minutes before meal

11

Risk of PPI

Bone health
Alzheimer's

12

PPI can sometimes be used for

Prevent stress ulcers from surgery

13

Laparoscopic Nissan fundoplication

Minimally invasive
Standard surgical approach for GERD

14

Hiatal hernia

Protrusion of stomach through the diaphragm where the esophagus is into the chest

15

Dx of hiatal hernia

EGD

16

Volvus

Twisting of a GI structure

17

Rolling hernia

Fundus of stomach comes up through diaphragm at esophagus hole
High risk of volvulus

18

Fundoplication

Surgeon wraps a portion of the stomach fundus around the distal esophagus to anchor and reinforce the LES

19

Post-op care for open Nissen

Bleeding
Soft diet
Avoid soda
Activity rest
No driving 1 week
No lifting
Never be able to vomit again

20

Diverticula

Sacs resulting from the herniation of esophageal mucosa into surrounding tissue
Zenkers