GERD: NCLEX Priorities
GERD: lifestyle, PPI ladder, alarm symptoms requiring endoscopy.
GERD is acid reflux into the esophagus. NCLEX tests lifestyle modifications and PPI use.
Recognition
Heartburn, regurgitation, dysphagia. Worse with meals, supine, after coffee/alcohol/spicy foods.
Lifestyle
Avoid trigger foods (chocolate, mint, fatty, spicy, citrus, coffee, alcohol). Smaller meals. Don't eat within 3h of bed. Elevate HOB. Weight loss if overweight. Smoking cessation.
Meds
PPI for established GERD. H2 blocker for milder. Antacids for breakthrough symptoms.
Alarm symptoms
Dysphagia, weight loss, anemia, hematemesis, age >55 with new symptoms → endoscopy.
Frequently asked
Barrett's esophagus?
Metaplasia from chronic acid exposure. Cancer risk. Surveillance endoscopy.
Quick check
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