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9 Cards in this Set
- Front
- Back
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GERD
Definition |
chronic SX or mucosal damage produced by abnormal reflux of gastric content into esophagus
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GERD
Classification |
nonerosive
erosive Barrett's esophagus |
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GERD
SX |
hallmark sx
- heartburn - substernal burning or pain that may radiate to heck, back, or throat - shortly after meals - reclining after meals - lying down at bedtime - exacerbated by large fat-filled meals - belching, regurgitation |
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GERD
DX |
empirical tx is appropriate
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GERD
Treatment principles |
Goals
-alleviate sx -decrease frequency and duration -promote healing -prevent complications |
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GERD
Treatment principles |
acid suppression mainstay of TX
PPIs provide fastest relief and best chance of healing |
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GERD
TX - 3 phases |
Phase I
- 2 week trial - antacids, alginic acid - if sx persist - phase II Phase II - RX therapy Phase III - surgery |
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GERD
pt counseling |
take antacids 2 hours apart from tetracycline, iron, digoxin
antacids and quinolones take 4-6h apart |
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GERD
adverse drug effects |
mg products - diarrhea
al products - constipation Na-bicarb - ?? whether should be used at all - na overload - esp HTN, CHF, CRF - systemic alkalosis |
