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