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GERD — NCLEX Cheat Sheet
Weak LES → acid reflux
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Use this quick-reference guide to spot, treat, and prevent GERD on the NCLEX. Keep it handy during review and on exam day!
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Mech
Key facts- weak LES → acid backflow
- worse lying flat, after meals
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Signs
What to look for- heartburn, regurgitation, dyspepsia
- dysphagia, chronic cough, hoarse
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Report
Notify / act now- Barrett's esophagus → cancer risk
- rule out cardiac chest pain
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Teach
Teaching points- HOB up, no meals 2-3h before bed
- small meals, sit up after eating
- avoid caffeine, fatty, spicy, ETOH
- PPIs, H2 blockers, antacids
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Quick Tip
Pyrosis (heartburn) is the hallmark, often worse after meals and when lying down or bending over.
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