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MEDSURG : OESOPHAGEAL DISORDER- GERD
Study guide & notes on : defini9ons, Ae9ology, pathophysiology ,clinical manifesta9ons, diagnosis,
nursing interven9ons , medical treatments ,complica9ons of related pathology
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A50001-DM 270/2004

GERD (Gastro oesophageal reflux disease)

1
...

2
...

3
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Ea9ng spicy food/ diary/fried food or having large meals
b
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Physical pressure due to pregnancy
4
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Clinical manifesta'on
a
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Descrip(on : is a burning , 9ght sensa9on felt
beneath the lower sternum and spreading upwards
the throat; may occur twice a week or specially at
night
b
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Descrip(on : sense of a lump in the troat –( feel like
choaking)
c
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Wheezing
e
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If related to oesophagi(s ( inflamma(on of oesophagus) :
may feel dysphagia ( difficulty in swallowing)
6
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Upper endoscopy ( AKA : esophagogastroduodenoscopy)
i
...

b
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B), drug names
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How is this test done? : A flexible catheter is sent through the nose into the oesophagus
, at the end of the catheter send signals to the device that the pa9ent is already wearing
around the waist
...

c
...
Descrip(on : this is a test done to examine the upper GI tract under fluoroscopy aLer
the client drinks a barium sulphate solu9on
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Nursing interven(ons before the procedure
• Make sure the pa9ent has withhold foods and fluids for 8 hours before the test
...

iii
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• Instruct the pa9ent to increase oral fluids
> Ra(onale: this will help to pass the barium solu9on that swallowed for
the test
...
B: the tools will be whi9sh in colour for a day
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Medical treatment
a
...

bed head can be elevated ( ra9onale : so then gravity helps in oesophageal
emptying)
ii
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consume food low in fat and avoid using alcohol, caffeine, spices , chocolate, tomato,
tea, milk red vine and carbonated drinks
iv
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Medical treatments ( drugs)
i
...

ii
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Proton-Pump Inhibitor – omeprazole, lansoprazole, rabeprazole, pantoprazole,
esomeprazole
...

iv
...

v
...

c
...
); this laporoscopic surgery is a an9reflux surgery
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IndicaAons: Uneffec9ve medical therapy in persistent symptoms; Young pa9ents
dependent on PPI; Persistent regurgita9on-related symptoms (asthma, laringi9s)
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ContraindicaAons: Elderly pa9ents with high surgery-related risks or comorbidi9es;
Pa9ents with symptoms but no evidence of reflux; Pa9ents with impaired esophageal
peristalsis who might be at risk for post-opera9ve
COLOUR CODES: Main topic; Clinical manifesta0on; Nursing interven0ons; Note well (N
...

NOTES BY POORNIMA

2

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Advise the pa9ent to maintain an upright or seated posture while consuming solid medica9ons
(e
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, capsules or pills)
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Educate the pa9ent regarding the interac9ons and usage of prescribed medica9ons
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Inform the pa9ent and their family about unsuitable foods and ac9vi9es
...

d
...

e
...

9
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Barrebe’s oesophagus
b
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Perfora9ons
d
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Bronchospasm
f
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Dental erosion
i
...


COLOUR CODES: Main topic; Clinical manifesta0on; Nursing interven0ons; Note well (N
...

NOTES BY POORNIMA

3



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