MNT 7.7

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Author:
kkincaid
ID:
139067
Filename:
MNT 7.7
Updated:
2012-03-02 02:56:41
Tags:
GERD
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Description:
Upper GI Disease
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  1. What is GER?
    Gastroesophageal reflux
  2. What is GERD?
    Gastroesophegeal Reflux Disease
  3. What is LES?
    Lower esophageal sphincter
  4. What is IBW?
    Ideal Body Weight
  5. What is Hx?
    History
  6. What is PHx?
    Past History
  7. What is FH?
    Family History
  8. What is meds?
    medications
  9. What is Pt.Ed.?
    Patient Education
  10. What is S&S?
    Signs and symptoms?
  11. What is Tx?
    Treatment
  12. What is Sgx?
    Surgery
  13. What is WNL?
    Within Normal Limits
  14. What is Dysphagia?
    A problem chewing or swallowing
  15. What is aspiration?
    The passages of substances beneath the vocal cords into the pharynx and trachea
  16. What is reflux aspiration?
    Aspiration of the stomach content into the lings following a GER
  17. What is aspirations pneumionia?
    An inflammation of the lungs due to the entrance of foreign matter, such as food particles, into the respiratory passage
  18. What is mucosa?
    Mucus membrane covering tubular body structures and formed superposed layers of epithelium, lamina propria and smooth muscle
  19. What is Mucus?
    Clear, thick, sticky secretion of mucous membranes. Contains: WBC, epithelial cells, and salts suspended in water
  20. Which hormone released by the stomach stimulates HCL secretion?
    Gastrin
  21. What diets are indicated for the management of dysphagia?
    • Diet modified in food texture and fluid consistency
    • Diets individualized after swallowing assessment
    • NDD 1: Pureed
    • NDD 2: Mech altered
    • NDD 3: Advanced
  22. What is GERD?
    Abnormal recurrent reflux of gastric acid into the esophagus causing symptoms & esophageal damage
  23. What is reflux esophagitis?
    Inflammation of the esophagus due to GER, which caused increased epithelial cell turnover
  24. What is Eruction?
    Belching. Passage of gas or a small amt of refluxes acidic gastric material through the mouth
  25. What is Odynophagia?
    Pain white swallowing
  26. What is stricture?
    Narrowing or stenosis of a hollow structure or tube
  27. What is an ulcer?
    Damage to mucosa or skin surface, due to superficial loss of tissue and possibility accompanied by inflammation
  28. What is a scar?
    Fibrous tissue replacing normal tissue damage by disease or injury
  29. What is metaplasia?
    Abnormal transformation of differentiated tissue or one type into differentiated tissue of another type
  30. What is Dysplasia?
    Growth of abnormal tissue
  31. What is endoscopy?
    Examination of the interior of a hallow organ using an instrument like an endoscope
  32. What is Adenocarcinoma?
    Epithelia cell cancer (neoplasm or malignant tumor)
  33. What are signs and symptoms of GERD?
    • Heartburn
    • Belching
    • Difficulty Swallowing
    • Pain in neck, back, jaw
  34. Give some complications that can result from GERD.
    • Severe Dysphagia
    • Barrets Esophagus
    • Cancer
  35. What are some of the many etiologic factors and conditions that can contribute to the development of GERD/GER in adults?
    • Excess gastric secretion (Zollinger-Ellison Syndrome)
    • Increased hormone secretion (gastrin, estrogen & progesterone)
    • Esophagogastric motility disorders
    • Increased abdominal pressure
    • Lifestyle & eating-related factors
    • Meds. effects
    • heartburn, bulimia
  36. What are some of the many etiologic factors and conditions that can contribute to the development of GERD/GER in peds?
    • Premature Infants
    • Neurologically impaired infants
    • CF
    • Food hypersensitivity
    • Heart Disease
  37. Indicate the types of treatment available for GERD.
    • Diet therapy & lifestyle modification
    • Meds.
    • Sugeries (occasional as needed)
    • No tight belts, do lay down after eating
  38. Which foods would NOT be recommended for clients with GERD?
    • Doughnuts
    • Black pepper
    • Refried Beans
    • Spaghetti sauce
    • Fried Bologna
    • Brownies
    • French Fries
    • Whipped cream
    • Mint
    • Tea
    • Soda Pop (gas)
    • Coffee
  39. Describe the dietary and lifestyle recommendations for patients with GERD?
    • Avoid high fat foods
    • Don't lay down (upright posture, 1 hr)
    • Elevate head during bedtime
    • Avoid chocolate, mint, alcohol, caffeine
    • No smoking
    • Wt loss
    • No tight clothes or belts
  40. What are the types of drugs used for management of GERD? Why are they used?
    • Histamine Blockers
    • Buffer for gastric acid-tums
  41. What food can be tolerated by a GERD patient with esophageal ulceration?
    Yogurt
  42. A client with GERD does not tolerate citrus fruits and their juice. What other dietary sources of asorbic acid can you recommend her or she consume?
    • Potatoes
    • Green Veg
    • Strawberries
    • Melons
    • Tomatoes
    • Green/Red Peppers

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