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7 Gastroesophageal Reflux Disease (GERD) Nursing Care Plans

Gastroesophageal Dispersion Distemper (GERD) Nursing Concern Plans or merely GERD is the undue backflow of gastric or duodenal solution, or twain into the esophagus and late the inferior esophageal sphincter (LES) for a sustained elongation of era extraneously associated belching or vomiting.

Nursing Concern Plans

Nursing concern drawingning goals of gastroesophageal dispersion distemper (GERD) involves training the unrepining to forsake situations that wane inferior esophageal sphincter constraining or principle esophageal flinching. The forthcoming are seven (7) nursing concern drawings for gastroesophageal dispersion distemper (GERD):
  1. Imbalanced Nutrition: Less Than Body Requirements
  2. Acute Pain
  3. Imbalanced Nutrition: More Than Body Requirements
  4. Risk for Aspiration
  5. Deficient Knowledge
  6. NEW: Anxiety (Pediatric)
  7. NEW: Risk for Injury (Pediatric)

Imbalanced Nutrition: Less Than Body Requirements

Imbalanced Nutrition: Less Than Body Requirements: The avow in which an single who is not on NPO, experiences or is at lavish for uneven intake or metabolism of nutrients for metabolic needs delay or extraneously importance forfeiture.

Gastroesophageal Dispersion Distemper (GERD) Nursing Concern Plans|May be cognate to

  • inability to intake sufficient livelihood beprinciple of dispersion
  • increased metabolism principled by distemper process
  • early satiety
  • heartburn
Possibly evidenced by
  • uneven livelihood intake
  • altered taste
  • importance forfeiture
  • decreased peristalsis
  • muscle lump forfeiture
  • nausea and vomiting
  • abdominal denial or discomfort
  • intolerance of fatty livelihoods
  • epigastric denial behind eating
  • heartburn
  • regurgitation
  • dysphagia
Desired Outcomes
  • Patient earn ingest daily nutritional requirements in agreement to his principle smooth and metabolic needs.
Nursing Interventions Rationale
Accurately mete the unrepining’s importance and exaltation. For baseline premise.
Obtain a nutritional truth. Determining the feeding habits of the client can produce a premise for establishing a nutritional drawing.
Encourage narrow recurrent meals of noble calories and noble protein livelihoods. Small and recurrent meals are easier to assimilate.
Instruct to rest in honest pose at meanest 2 hours behind meals; forsakeing eating 3 hours precedently bedtime. Helps guide dispersion and principles less flinching from dispersion resuscitation into esophagus.
Instruct unrepining to eat unwillingly and munch livelihoods polite. Helps forefend dispersion.
Prepare the unrepining for the forthcoming symptom procedures:
Complete blood count To substantiate the influence of anemia that must be administrationd out
Cardiac enzymes To administration out myocardial denial cognate to the atypical denial felt delay GERD
Serum iron To substantiate influence of iron-deficiency anemia
Gastrin smooths To substantiate toxicity of proton interrogate inhibitors or to diagnose Zollinger-Ellison syndrome
Gastric harsh secretory analysis To indicate if want delay pharmacologic agents is principled by uneven suppression of gastric harsh secretion, which may forebode bile dispersion or pill-induced distemper
Upper gastrointestinal endoscopy Used to substantiate the image and size of texture loss.
Barium swallow Can be used to substantiate structures and Hiatal hernias
Esophageal pH monitoring Used to instrument pathologic harsh dispersion, chiefly for unrepinings who possess atypical symptoms.
You may to-boot relish the forthcoming posts and concern drawings:

Gastroesophageal Dispersion Distemper (GERD) Nursing Concern Plans|Gastrointestinal Concern Plans

Care drawings crust the disorders of the gastrointestinal and assimilateive system:


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