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8 Cards in this Set
- Front
- Back
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Causes of GERD
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Obesity, pregnancy, full stomach, lying down, bending forward, lifting heavy objects.
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Which valve is responsible for acid leaking into the esophagus.
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LES. Relaxes too frequently and lets acid in. Lower esophageal pressure also allows reflux.
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What are some non-medicinal ways of treating GERD.
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Decrease consumption of citrus and tomato products, spicy foods, caffeine.Eat more smaller meals. Elevate head slightly during sleeping.
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What are symptoms of GERD
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Dysphagia, bleeding emesis, coffee ground stools, choking, weight loss.
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What percentage of GERD patients get Barrett's
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around 10%
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What do promotiligy agents do in GERD.
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Increase LES pressure. Promote gastric motility to get stuff moving out of the stomach quicker.
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Metoclopramide
(Reglan) |
Dopamine antagonist. Enhances peripheral action of Ach at muscarinic receptor. Increases LES tone. Stimulates stomach emptying and lowers transit time. Helpful for GERD and pre-surgical. It does cross BBB and can cause sedation. Don't take during work. Ups prolactin.
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Domperidone
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Only blocks peripheral dopamine receptor. No CNS effects.
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