NUR 304 Exam 4 – Study Guide and Exam Review Material
GERD - correct answer ✔✔Gastroesophageal reflux disease
Basically acid reflux
Risk Factors
GERD - correct answer ✔✔Obesity
Pregnancy
Heavy lifting / straining / exercise
Hiatal hernias
Alcohol / Smoking
Sleep Apnea
NG Tube
Excessive eating/drinking
Signs & Symptoms
GERD - correct answer ✔✔Heartburn (Pyrosis)
Epigastric Pain
Regurgitation when lying down
Problems swallowing (Dysphagia)
Dry cough
Nausea
Belching
Indigestion / Dyspepsia
Dental Cavities / Carries
, Esophagitis / Esophageal ulcers & cancer
GERD Diet - correct answer ✔✔Eat small more frequent meals
Avoid Bedtime snacks
Avoid acidic, spicy, carbonated, alcohol, caffeine, fatty foods, peppermint, chocolate
GERD Nursing Considerations - correct answer ✔✔Avoid tight clothing
No NSAIDS
NPO until gag reflex returns
Elevate head of bed while sleeping
GERD - Meds - correct answer ✔✔PPI (pantoprazole)
Antacids (Aluminum hydroxide)
H2 Blockers (Famotidine)
Hiatal Hernia - correct answer ✔✔Structural abnormality where part of the stomach protrudes
above the diaphragm (goes into esophagus a little bit)
Hiatal hernia - Types - correct answer ✔✔sliding and fixed/rolling
Fixed is worse
Sliding Hernia - correct answer ✔✔Regurgitation & dysphagia
Rolling Hernia - correct answer ✔✔Out of breath after eating
More severe
GERD - correct answer ✔✔Gastroesophageal reflux disease
Basically acid reflux
Risk Factors
GERD - correct answer ✔✔Obesity
Pregnancy
Heavy lifting / straining / exercise
Hiatal hernias
Alcohol / Smoking
Sleep Apnea
NG Tube
Excessive eating/drinking
Signs & Symptoms
GERD - correct answer ✔✔Heartburn (Pyrosis)
Epigastric Pain
Regurgitation when lying down
Problems swallowing (Dysphagia)
Dry cough
Nausea
Belching
Indigestion / Dyspepsia
Dental Cavities / Carries
, Esophagitis / Esophageal ulcers & cancer
GERD Diet - correct answer ✔✔Eat small more frequent meals
Avoid Bedtime snacks
Avoid acidic, spicy, carbonated, alcohol, caffeine, fatty foods, peppermint, chocolate
GERD Nursing Considerations - correct answer ✔✔Avoid tight clothing
No NSAIDS
NPO until gag reflex returns
Elevate head of bed while sleeping
GERD - Meds - correct answer ✔✔PPI (pantoprazole)
Antacids (Aluminum hydroxide)
H2 Blockers (Famotidine)
Hiatal Hernia - correct answer ✔✔Structural abnormality where part of the stomach protrudes
above the diaphragm (goes into esophagus a little bit)
Hiatal hernia - Types - correct answer ✔✔sliding and fixed/rolling
Fixed is worse
Sliding Hernia - correct answer ✔✔Regurgitation & dysphagia
Rolling Hernia - correct answer ✔✔Out of breath after eating
More severe
