Gastroesophageal Reflux Flashcards Preview

Peds Exam 2 > Gastroesophageal Reflux > Flashcards

Flashcards in Gastroesophageal Reflux Deck (16):
1

when does this most frequently occur

after meals
may occur throughout day & night

2

which % of infants under 2 months are affected

50%

3

by which age does this usually spontaneously resolve

1 year

4

which conditions is this often seen along with

neurological disorders
asthma
CF
premature infants

5

what is the cause

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

6

what are s/s in infants

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

7

what are s/s in children

heartburn
abdominal/chest pain
chronic cough
nocturnal asthma

8

what is the definitive test for GER

intraresophogeal 24 hour pH monitoring

9

how long after feeding should they be upright

1 hour

10

how high should the HOB be elevated

30 degrees

11

how should the baby be positioned after 6 months

prone

12

how much rice cereal can be used to thicken feedings

1 tsp - 1 tbsp / ounce

13

which 3 meds are commonly given

Zantac
Prevacid
Protonix

14

what can be done surgically

nissen fundoplication

15

what is the purpose of a nissen fundoplication

tighten lower esophageal sphincter

16

when should the meds be administered

30 mins before breakfast & dinner