GERD Flashcards Preview

ADT Module 5-8 > GERD > Flashcards

Flashcards in GERD Deck (23)
1

___ is a condition or histiological alteration resulting in reflux.

GERD

2

___ ___ is inflammation of esophagus secondary to reflux.

Reflux esophagitis

3

What are the 4 aggressive factors in GERD?

acid, pepsin, bile acids, and pancreatic enzymes

4

What is the hallmark sign of GERD?

heartburn

5

Heartburn can be aggravated by ___.

weight

6

Other signs of GERD besides heartburn include:

regurgitation, dysphagia, bleeding, chest pain

7

Aims of tx for GERD include: increase ___ pressure, improve ___ emptying, decrease ___ and ___.

LES, gastric, acidity, volume

8

Phase 1 tx for GERD includes:

elevate bed, change diet, stop smoking, avoid certain meds, antacids or gaviscon, OTC H2's

9

Phase 2a tx for GERD includes:

H2's, prokinetic agents, bethanechol, sucralfate

10

Phase 2b tx for GERD includes:

Hi-dose H2's, PPI

11

Phase 3 tx for GERD includes:

antireflux laparoscopic surgery (Nissen fundoplication)

12

Alginic Acid (aka ___) is an antacid that ___ acid and creates a ___ that floats on top of ___ secretions to provide a mucosal barrier on the ___.

Gaviscon, neutralizes, foam, acid, esophagus

13

___ are the mainstay therapy for GERD. Superior to ___.

H2-RA's, antacids

14

With GERD, you want continuous acid ___.

suppression

15

Bethanechol is a ___ agent that increases ___ tone for GERD. Do not want to use in ___, ___ or ___.

cholinergic, LES, PUD, astha, COPD (b/c you use anticholinergics to tx COPD)

16

___ is a prokinetic agent that increases ___ tone and gastric ___. Is a ___ antagonist, so don't give to pt's w/___.

Metoclopramide, LES, emptying, dopamine, PD

17

Metoclopramide has extrapyramidal s/e, including ___ ___ and ___.

tardive dyskinesia, dystonia's

18

Tx for mild GERD:
moderate GERD:
Refractory/severe GERD:

lifestyle changes, antacid or low dose H2
H2-RA's or PPI
PPI is best option

19

May have to switch to ___ if higher doses of H2's not effective.

PPI

20

Tx for GERD is ___, whereas it is short-term therapy for ___.

prolonged, PUD

21

Dosing for GERD is ___, whereas it can be ___ for PUD.

BID, dly

22

Acetylcholine stimulates ___ production, so do not want to give ___ in PUD, only for use in GERD.

acid, Bethanechol

23

___ needs to be monitored closely for toxicity.

Metoclopramide (Reglan)