GER - created from Mind Map

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Gastroesophageal reflux

common in 50% of infants, resolves 85% cases

Pathophysiology

esophageal spincter loosens allow reflux of gastric contents

signs/symptoms

reguritation of food

happy spitter

poor feeding

weight loss

Treatment

medications

surgery: nissen fundoplication

Nursing Management

prokinetics to allow gastric emptying, antacids

proton pump inhibitors-suppress secretion of gastric acid

h2 receptor antagonist-inhibit acid secretions

gastric fundus wrapped around lower esophagus

Elevate HOB

frequent small meals

sit upright 30 minutes after meal

thicken feedings

burp during and after feeding

GER