About
Substernal or sternal pain with accompanying regurgitation of gastric contents.
Assess
Onset of pain, usually follows a meal. Sometimes may be difficult to differentiate from angina ( chest pain related to the heart). Proper physician diagnosis is imperative to differentiate treatment. Clients may also have nausea and regurgitation of fluid and food after meal.
Complications
Surgery: continue anti-reflux activities and medications, post-operative monitoring.
Diagnosis
Impaired comfort r/t dyspepsia
Goals
Client will demonstrate three ways to minimize the onset of GERD symptoms.
Client will identify three lifestyle factors that contribute to GERD.
Interventions
- Administer antacids one hour before or 2-3 hours after meals as ordered.
- Administer Proton Pump Inhibitors, histamine blockers, and other drugs as ordered to control symptoms.
- Teach client health promotion techniques including losing weight, alcohol elimination and smoking cessation.
- Teach client non-pharmacological treatments including six small meals a day, avoid tight clothes, remain upright after meals, reduce spicy foods.
- Monitor for signs/ symptoms of complications.
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