PATHOPHYSIOLOGY
(CHAMBERLAIN UNIVERSITY)
NR 507 WEEK 5: EDAPT: GERD: ALTERATIONS
IN THE GASTROINTESTINAL SYSTEM
NR 507 WEEK 5: EDAPT: GERD: ALTERATIONS
IN THE GASTROINTESTINAL SYSTEM
, NR 507 Week 5: Edapt: GERD: Alterations in the Gastrointestinal System
Gastroesophageal reflux disease (GERD) is commonly associated with the loss of
muscle tone at the lower esophageal sphincter (LES). The LES is a muscular ring
that separates the esophagus from the stomach, and its relaxation or
incompetence can lead to the backward flow of stomach contents into the
esophagus, causing the symptoms characteristic of GERD, such as heartburn and
regurgitation.
Reverse peristalsis, where the stomach contracts in the opposite direction of normal
peristalsis, is not a typical mechanism associated with GERD.
Excessive salivation and swallowing do not typically cause GERD. In fact,
swallowing can help clear refluxed material from the esophagus.
GERD is more related to issues with the LES and the reflux of acidic stomach
contents into the esophagus than the increased production of bile.
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1) When an individual consumes a very large meal, the nurse practitioner (NP)
knows the gastric emptying rate will be increased.
2) When an individual receives a hypertonic gastric tube feeding solution, the NP
knows the gastric emptying rate will be delayed.