Peptic Ulcer Disease

Question 1

Risk factors

Answer 1

-helicobactor pylori (H. pylori)
-long term use of NSAIDs
-stress

Question 2

S&S

Answer 2

-Burning sensation between meal/night
-Pain stop if eat/take antacids
-pain comes and goes
-bloating

Question 3

Lab

Answer 3

-Urea breathing test (non invasive)
-Biopsy of stomach lining (EGD, CBC, stool - for blood)

Question 4

meds

Answer 4

-#1 PPI pantoprazole (suppresses secretion of gastric acid)
-sucralfate - protective barrier against acid (anti ulcer)
-ondansetron
-metronidazole (antibiotic)

Question 5

Things to remember with PPI - pantoprazole

Answer 5

-Don’t crush
-can’t be on it forever because it’s powerful

Question 6

Things to remember with sucralfate

Answer 6

-coats stomach
-must take 4x day (1 hour before meals, night)

Question 7

What is ondansetron for?

Answer 7

Nausea

Question 8

Things to remember with flagyl - metronidazole

Answer 8

No alcohol or sex

Question 9

Complications

Answer 9

Hemorrhage
Perforation
Gastric outlet obstruction

Question 10

What is a hemorrhage

Answer 10

Bleed

Question 11

What is a perforation?

Answer 11

Hole in stomach, food spilling out

Question 12

What is a gastric outlet obstruction?

Answer 12

Blockage, inflammation, food cannot leave stomach

Question 13

Interventions / teaching

Answer 13

-NPO first
-IV fluids
-teach things to remember with meds
-no smoking