Term
GASTROESOPHAGEAL REFLUX (GERD) CAUSE
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Definition
INCOMPETENT CARDIAC (LES) SPHINCTER DOES NOT CLOSE FULLY
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Term
GASTROESOPHAGEAL REFLUX (GERD) MAY BE R/T
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Definition
SPHINCTER ITSELF BEING INCOMPENTENT
ABNORMAL ANGLE AT JUNCTION
ABNORMAL INNERVATION OF AREA
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Term
GASTROESOPHAGEAL REFLUX (GERD)
deff.
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Definition
ACIDIC GASTRIC CONTENTS RUN UP INTO ESOPHAGUS WHICH HAS NO PROTECTIVE MUCOSA
CAUSES GI PAIN
SPILL-OVER CAUSES CHANGES IN TRACHEAL TISSUE |
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Term
GASTROESOPHAGEAL REFLUX (GERD)
RISK FACTORS
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Definition
ANY CONDITION WHICH CAUSES INCREASED PRESSURE ON STOMACH (SQUEEZES CONTENTS UPWARD)
OBESITY
PREGNANCY
FOODS WHICH CHEMICALLY DECREASE LOWER ESOPHAGEAL SPHINCTER (LES) TONE
ETOH, PEPPERMINT, LICORICE, CAFFEINE, TOBACCO, CARBONATED BEVERAGES
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Term
GASTROESOPHAGEAL REFLUX (GERD)
CLINICAL MANIFESTATIONS
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Definition
EPIGASTRIC PAIN & DISCOMFORT, REGURGITATION, HEARTBURN, CHEST PAIN , MUST R/O MI
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Term
GASTROESOPHAGEAL REFLUX (GERD)
COMPLICATIONS
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Definition
ESOPHAGITIS – INFLAMMATION OF THE LINING OF THE ESOPHAGUS CAUSES
PAINFUL OR DIFFICULT SWALLOWING
ESOPHAGEAL ULCERATION CAUSES SLOW BLEEDING LEADING TO ANEMIA OVER TIME
ESOPHAGEAL STRICTURES & CANCER
RESP. DISTRESS R/T ASPIRATION PNEUMONIA & TISSUE CHANGES IN RESP TRACT LEADING TO BRONCHITIS
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Term
GASTROESOPHAGEAL REFLUX (GERD)
DIAGNOSTIC TESTS
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Definition
BARIUM SWALLOW, SHOWS ESOPHAGITIS & STRICTURE ENDOSCOPY & BIOPSY
CONFIRMS ESOPHAGITIS STOOL FOR GUIAC MAY BE POSITIVE
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
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Definition
DRUGS H2 BLOCKERS TO SUPPRESS ACID FORMATION TO PREVENT INJURY TO ESOPHAGUS
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
DRUGS PEPCID, AZID, ZANTAC |
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Definition
| CIMETADINE RARELY USED R/T CAUSES CONFUSION & BLOOD DYSCRASIAS |
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
DRUGS: PROTON PUMP INHIBITORS |
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Definition
TO SUPPRESS LAST STEP OF ACID FORMATION
PRILOSEC, PREVACID, PROTONIX
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
DRUGS: GI MOTILITY AGENTS
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Definition
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
DRUGS: GI ANTACIDS |
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Definition
TO DECREASE DAMAGE TO ESOPHAGUS BY NEUTRALIZING ACIDS
MAALOX, MYLANTA, TUMS (ESP. GOOD FOR ELDERLY WOMEN R/T CA++)
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
NURSING
DIETARY
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Definition
SMALL FREQ. MEALS
REMAIN UPRIGHT FOR 2 HRS. AFTER MEALS
NO EATING AT BEDTIME
AVOID FOODS, SUBSTANCES, & BEVERAGES WHICH DECREASE CARDIAC SPHINCTER FUNCTION & CAUSE ESOPHAGEAL IRRITATION
ETOH, PEPPERMINT, LICORICE, CAFFEINE, TOBACCO, CARBONATED BEVERAGES
LOW FAT, HIGH FIBER |
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
NURSING TEACHING
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Definition
SLEEP WITH HOB ON 3-4 INCH BLOCKS
WT. LOSS IF OBESE
AVOID BEHAVIORS WHICH INCREASE ABD. PRESSURE
VALSALVA, LIFTING, STRAINING, TIGHT CLOTHES |
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
MANAGEMENT
SURGICAL -FUNDOPLICATION
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Definition
WRAP STOMACH FUNDUS AROUND CARDIAC SPHINCTER TO KEEP IT FROM OPENING & CAUSING REFLUX
TODAY MAY BE DONE VIA LAPOROSCOPE
MONITOR FOR NAUSEA & GASTRIC DISTENTION POST-OP R/T PT. UNABLE TO VOMIT OR BELCH POST-OP
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Term
GASTROESOPHAGEAL REFLUX (GERD)
MEDICAL MANAGEMENT
MANAGEMENT
SURGICAL - ANGELCHIK
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Definition
ANTIREFLUX PROSTHESIS
C-SHAPED GEL FILLED SYNTHETIC RING APPLIED AROUND DISTAL ESOPHAGUS
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Term
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Definition
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