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What is GER?
What is GERD?
Gastroesophegeal Reflux Disease
What is LES?
Lower esophageal sphincter
What is IBW?
Ideal Body Weight
What is PHx?
What is FH?
What is meds?
What is Pt.Ed.?
What is S&S?
Signs and symptoms?
What is WNL?
Within Normal Limits
What is Dysphagia?
A problem chewing or swallowing
What is aspiration?
The passages of substances beneath the vocal cords into the pharynx and trachea
What is reflux aspiration?
Aspiration of the stomach content into the lings following a GER
What is aspirations pneumionia?
An inflammation of the lungs due to the entrance of foreign matter, such as food particles, into the respiratory passage
What is mucosa?
Mucus membrane covering tubular body structures and formed superposed layers of epithelium, lamina propria and smooth muscle
What is Mucus?
Clear, thick, sticky secretion of mucous membranes. Contains: WBC, epithelial cells, and salts suspended in water
Which hormone released by the stomach stimulates HCL secretion?
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
What is GERD?
Abnormal recurrent reflux of gastric acid into the esophagus causing symptoms & esophageal damage
What is reflux esophagitis?
Inflammation of the esophagus due to GER, which caused increased epithelial cell turnover
What is Eruction?
Belching. Passage of gas or a small amt of refluxes acidic gastric material through the mouth
What is Odynophagia?
Pain white swallowing
What is stricture?
Narrowing or stenosis of a hollow structure or tube
What is an ulcer?
Damage to mucosa or skin surface, due to superficial loss of tissue and possibility accompanied by inflammation
What is a scar?
Fibrous tissue replacing normal tissue damage by disease or injury
What is metaplasia?
Abnormal transformation of differentiated tissue or one type into differentiated tissue of another type
What is Dysplasia?
Growth of abnormal tissue
What is endoscopy?
Examination of the interior of a hallow organ using an instrument like an endoscope
What is Adenocarcinoma?
Epithelia cell cancer (neoplasm or malignant tumor)
What are signs and symptoms of GERD?
- Difficulty Swallowing
- Pain in neck, back, jaw
Give some complications that can result from GERD.
- Severe Dysphagia
- Barrets Esophagus
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
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
- Food hypersensitivity
- Heart Disease
Indicate the types of treatment available for GERD.
- Diet therapy & lifestyle modification
- Sugeries (occasional as needed)
- No tight belts, do lay down after eating
Which foods would NOT be recommended for clients with GERD?
- Black pepper
- Refried Beans
- Spaghetti sauce
- Fried Bologna
- French Fries
- Whipped cream
- Soda Pop (gas)
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
What are the types of drugs used for management of GERD? Why are they used?
- Histamine Blockers
- Buffer for gastric acid-tums
What food can be tolerated by a GERD patient with esophageal ulceration?
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?
- Green Veg
- Green/Red Peppers