Gastroesophageal Reflux

Question 1

when does this most frequently occur

Answer 1

after meals

may occur throughout day & night

Question 2

which % of infants under 2 months are affected

Answer 2

50%

Question 3

by which age does this usually spontaneously resolve

Answer 3

1 year

Question 4

which conditions is this often seen along with

Answer 4

neurological disorders
asthma
CF
premature infants

Question 5

what is the cause

Answer 5

relaxation of the lower esophageal sphincter
gastric distention
delayed gastric emptying
increased abdominal pressure

Question 6

what are s/s in infants

Answer 6

forceful vomiting
excessive crying
arching of the back
sleeping & feeding problems

Question 7

what are s/s in children

Answer 7

heartburn
abdominal/chest pain
chronic cough
nocturnal asthma

Question 8

what is the definitive test for GER

Answer 8

intraresophogeal 24 hour pH monitoring

Question 9

how long after feeding should they be upright

Answer 9

1 hour

Question 10

how high should the HOB be elevated

Answer 10

30 degrees

Question 11

how should the baby be positioned after 6 months

Answer 11

prone

Question 12

how much rice cereal can be used to thicken feedings

Answer 12

1 tsp - 1 tbsp / ounce

Question 13

which 3 meds are commonly given

Answer 13

Zantac
Prevacid
Protonix

Question 14

what can be done surgically

Answer 14

nissen fundoplication

Question 15

what is the purpose of a nissen fundoplication

Answer 15

tighten lower esophageal sphincter

Question 16

when should the meds be administered

Answer 16

30 mins before breakfast & dinner