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    Gastroesophageal Reflux Disease (Gerd)

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    Francis Alfred Escaran
    GERD is a condition where stomach acid leaks back into the esophagus. Risk factors include an incompetent lower esophageal sphincter, aging, smoking, hiatal hernia, and pregnancy. Clinical manifestations include heartburn, dyspepsia, nausea, vomiting, difficulty swallowing, and dental erosion. Treatment options include antacids, proton pump inhibitors, H2 receptor blockers, prokinetic agents, Nissen fundoplication surgery, and Linx device implantation. Nursing management focuses on diet modification, activity changes, medication administration, and symptom monitoring and relief.

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    Gastroesophageal Reflux Disease (Gerd)

    Uploaded by

    Francis Alfred Escaran
    21 views6 pages
    GERD is a condition where stomach acid leaks back into the esophagus. Risk factors include an incompetent lower esophageal sphincter, aging, smoking, hiatal hernia, and pregnancy. Clinical manifestations include heartburn, dyspepsia, nausea, vomiting, difficulty swallowing, and dental erosion. Treatment options include antacids, proton pump inhibitors, H2 receptor blockers, prokinetic agents, Nissen fundoplication surgery, and Linx device implantation. Nursing management focuses on diet modification, activity changes, medication administration, and symptom monitoring and relief.

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    GERD is a condition where stomach acid leaks back into the esophagus. Risk factors include an incompetent lower esophageal sphincter, aging, smoking, hiatal hernia, and pregnancy. Clinical manifestations include heartburn, dyspepsia, nausea, vomiting, difficulty swallowing, and dental erosion. Treatment options include antacids, proton pump inhibitors, H2 receptor blockers, prokinetic agents, Nissen fundoplication surgery, and Linx device implantation. Nursing management focuses on diet modification, activity changes, medication administration, and symptom monitoring and relief.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views6 pages

    Gastroesophageal Reflux Disease (Gerd)

    Uploaded by

    Francis Alfred Escaran
    GERD is a condition where stomach acid leaks back into the esophagus. Risk factors include an incompetent lower esophageal sphincter, aging, smoking, hiatal hernia, and pregnancy. Clinical manifestations include heartburn, dyspepsia, nausea, vomiting, difficulty swallowing, and dental erosion. Treatment options include antacids, proton pump inhibitors, H2 receptor blockers, prokinetic agents, Nissen fundoplication surgery, and Linx device implantation. Nursing management focuses on diet modification, activity changes, medication administration, and symptom monitoring and relief.

    Copyright:

    © All Rights Reserved
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    of 6

    GASTROESOPHAGEAL

    REFLUX DISEASE (GERD)


    Capistrano, Caratay, Meneses, Sibongga, Talento, Villanueva
    BSN IV-O2
    WHAT IS GERD?
    This is due to an incompetent
    It is a condition in which acid-
    sphincter and other predisposing
    containin contents of the stomach
    factors leading to the
    persistenty leak back up into the
    regurgitation of the stomach
    esophagus
    content

    RISK FACTORS
    Incompetent Lower Esophageal Sphincter
    Smoking
    Aging
    Hiatal Hernia
    Diet
    Pregnancy
    Type A people/Perfectionists
    CLINICAL
    MANIFESTATIONS
    Pyrosis
    Dyspepsia
    Feeling of fullness
    Nausea & Vomiting
    Dysphagia
    Ptyalism : Hypersalivation
    Dental erosion
    Ulcerations
    Laryngeal damage
    Pulmonary complications
    D AMBULATORY PH MONITORING
    I PHARMACOLOGICAL
    NURSING CONSIDERATIONS:

    A
    NPO 6-8 before procedure, Wear loose comfortable clothing, stop any antacid 24 hours before
    procedure, do not take a bath/get the device wet

    G
    N UPPER GASTROINTESTINAL ENDOSCOPY /
    ESOPHAGOGASTRODUODENOSCOPY
    O NURSING CONSIDERATIONS:
    NPO 6-8 before procedure, a numbing spray and/or sedative may be given, instruct client to

    S swallow as scope passes down

    T
    I BARIUM SWALLOW
    C
    NURSING CONSIDERATIONS:
    NPO 6-8 before procedure, after the procedure, promote evacuation of barium, prior the procedure,
    remove jewelries, determine if patient is pregnant or their LMP, advise patient to report problems of

    S evacuation, inform patient that their stool will be white and chalky 24-72 hours after the procedure
    M PHARMACOLOGICAL/SURGICAL
    A MANAGEMENT
    N
    A ANTACIDS – MAALOX
    PROTON PUMP INHIBITOR – OMEPRAZOLE
    G H2 RECEPTOR BLOCKERS – “TIDINE”
    PROKINETIC AGENTS- METOCLOPRAMIDE
    E
    M
    E NISSEN FUNDOPLICATION
    LINX DEVICE IMPLANTATION
    N
    T
    M NURSING MANAGEMENT
    A
    N ASSESS DIET ACTIVITY
    A PAIN
    Location
    Small Frequent Meals
    Bland Diet
    Instruct the patient to be
    on upright position or sit

    G
    down an hour after eating
    Frequency Soft Diet
    Instruct to put a pillow
    Quality Low Fat Diet
    under head when

    E
    Voice
    sleeping to avoid
    Medication Hx WHAT TO AVOID: regurgitation

    M
    Gastric Irritant
    WHAT TO AVIOD: (MEDS) C -Caffeine WHAT TO AVOID:
    Antihistamines A - Alcohol

    E
    Fitted Clothes
    Calcium Channel S - Spicy Lifting Heavy Object
    Blockers H - Hot Eating 2-3 hrs before

    N Sedatives
    Anticholinergics
    Chocolates
    Citrus
    bedtime
    Smoking

    T
    Dairy

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