Gastritis

Question 1

Causes of Type A Gastritis (Acute)

Answer 1

• AUTOIMMUNE (own immune system produces antibodies to fight the parietal cells of the stomach even the intrinsic factors)
• Ingestion of contaminated food with microorganisms (Salmonella typhosa, E. coli, Campylobacter jejuni)
• irritating foods (acidic, fatty, spicy, fried foods) or too highly seasoned (maalat)
• Overuse of aspirin or NSAIDs, Digitalis, Chemo drugs, Steroids (could erode the mucosal lining of the stomach)
• excessive alcohol intake

Question 2

Type B gastritis

Answer 2

•is caused by benign or malignant ulcers or by the bacteria gram-negative bacteria Helicobacter pylori
• Person ingests uncooked or raw meat = the number of H.pylori increases
• Repeated infection and corrosion

Question 3

OTHER CAUSES OF GASTRITIS

Answer 3

-cigarette smoking
-GERD reflux.
-PUD

Question 4

Assessment for Type A (Acute Gastritis)

Answer 4

( H A A A R D )
Hiccuping
Abdominal Pain and discomfort
Abdominal cramps and tenderness
Anorexia and n/v
Reflux
Diarrhea

Question 5

Assessment for Type B (Chronic Gastritis)

Answer 5

( B A N D H I V W)
-Belching and Dyspepsia
-Anorexia
-N/V
-Heartburn after eating
-Intolerance to spicy and fatty foods
-Vitamin B12 deficiency
-Water Brash

Question 6

Triple therapy (Drugs) for Helicobacter Pylori Infection

Answer 6

A- Amoxicillin (Amoxil)
C- Clarithromycin (Biaxin)
E- Eseprazole (Nexium)

Question 7

Quadruple therapy (Drugs) for Helicobacter Pylori Infection

Answer 7

1. B- Bismuth Subsalicylate
   E- Esomeprazole (Nexium)
   M- Metronidazole ( Flagyl)
   T- Tetracycline

2.
B- Bismuth Subsalicylate
R- Ranitidine (Zantac)
M- Metronidazole ( Flagyl)
T- Tetracycline

Question 8

Intervention for gastritis

Answer 8

-GI rest: NPO G-12 hrs - Clear liquid - Heavier Liquid - Solid Foods
-Bland diet for both acute and chronic
-Provide info in importance of Vit. B12 injections
-When oral food is withheld, 3L IV fluids (preferably D5W) to inc. Energy
-Instruct to take prescribely meds (antacids and antibiotics)
-Instruct to avoid highly corrosive foods

Question 9

Result of Alcohol and Flagyl

Answer 9

Disulfiram like reactions

Question 10

Sx of Disulfirams like reactions

Answer 10

Headache
SOB
Vertigo
B. Vision
Weakness