Chapter 37: PUD and GERD

Question 1

Peptic Ulcer Disease (PUD)

Answer 1

characterized by GI mucosa that is exposed to gastric acid and pepsin.

It is an infection of H. pylori and excessive use of NSAIDs

When smooth muscle heals, however, scar tissue remains and the mucosa that regenerates to cover the scarred muscle tissue may be defective

Question 2

Gastroesophageal reflux disease (GERD)

Answer 2

most common disorder of the esophagus.

Is a chronic disease characterized by bile refluxes in the esophagus

main cause is the lower esophageal sphincter which normally is contracted or closed and prevents the reflux of gastric contents

Question 3

Proton pump inhibitor (what)

Answer 3

inhibits secretion of gastric acid

Question 4

Proton pump inhibitor (why)

Answer 4

Improves healing of gastric acid related diseases

Question 5

Proton pump inhibitors (indications)

Answer 5

PUD and GERD

Lower doses can prevent the recurrence of esophagitis, maintain symptom relief, and heal esophagitis

Question 6

Proton pump inhibitors (contraindications)

Answer 6

hypersensitivity to omeprazole

Question 7

Proton pump inhibitor (assessment)

Answer 7

assess for decreased epigastric pain with gastric and duodenal ulcers and also assess for decreased heartburn with GERDs.

As for adverse effects assess
for presence of headache, diarrhea, abdominal pain, nausea, and vomiting