Peptic Ulcer Disease System Disorder PDF

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Summary

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Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Peptic Ulcer Disease DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) -Acute Pain -Nausea -Lack of knowledge

Pathophysiology Related to Client Problem Condition characterized by erosion of GI mucosa from digestive action of HCl acid and pepsin.

41 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Having adequate rest -Smoking and alcohol cessation -Effective stress management

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings -Burning or gaseous pressure in epigastrium -Pain 1-5 hours after meals -Cramping, back pain

-Patients taking corticosteroids or anticoagulants with NSAIDs -High alcohol intake -Smoking -Psychological Distress

Laboratory Tests

Diagnostic Procedures

-CBC -Liver enzymes -Serum amylase

-Upper GI endoscopy -Biopsy -Stool testing for blood

PATIENT-CENTERED CARE

Nursing Care -Monitor for increased N&V. epigastric pain, and/or blood emesis or tarry stools. -Monitor fo changes in VS that could indicate GI bleeding -If a NG tube is prescribed administer regular mouth care -Give IV fluids as prescribed and record I&O -Provide a quiet and restful environment

Medications -Proton Pump Inhibitors -Antibiotics for H. Plyori

-Drug Therapy

-Cytoprotective drugs

-Surgical Therapy

-Antacids

-Conservative Therapy (i.e. adequate rest and stress management)

ACTIVE LEARNING TEMPLATES

-If patient with ulcer develops maifestations of a perforation, notify HCP immediately, take VS, and temporarily stop all oral, NG drugs, and feedings -Regularly irrigate the NG tube with NS solution to assist proper functioning.

Complications Client Education -Avoid foods that cause gastric distress such as acidic foods -Avoid OTC unless approved by HCP. Many preparations contain ingredients such as aspirin that should not be taken unless approved by HCP. -Stress can be related to S&S of PUD

-H2 receptor blockers

Therapeutic Procedures

-Maintain patency of NG tube to prevent blood clots

Interprofessional Care -Gastroenterologist -Primary Care Provider

-Hemorrhage -Perforation -Gastric Outlet Obstruction...