peptic ulcer disease

Question 1

what is peptic ulcer disease?

Answer 1

an ulceration in the mucosal wall of the stomach, the ulcer name can be dependent on where it is in the stomach

Question 2

what are some common factors/cause for ulcers?

Answer 2

NSAIDS, alcohol, gastritis, family history, h.pylori infection

Question 3

what is a major sign and symptom of peptic ulcer?

Answer 3

gnawing, sharp pain in or to the left of the midepigastric region occurs after eating 1-2hours after a meal

and hematemesis for gastric
melena for duodenal
pain

Question 4

what is the treatment of a peptic ulcer?

medications

Answer 4

administer of medication like
H2 receptors
Proton pump inhibitor
antacids
mucosal barrier
antibiotics

Question 5

what is the function of a ppi?

Answer 5

aid with decreasing gastric acid

Question 6

H2 receptor and proton pump inhibitor aid with decreasing the gastric acid

Anticholinergic is prescribed to reduce gastric motility

Mucosal barrier protectants as prescribed 1 hour before each meal

H.pyrlori for antibiotics

Client education
- avoid alcohol & substances
- avoid smoking & NSAIDs
- obtain adequate rest & easy in the food

Question 7

Interventions during active bleeding
- monitor vital signs closely
- assess for hemorrhage / shock
- monitor H&H
- administer blood transfusion if needed
Surgery can be an option but watch out for dumping syndrome

• the rapid emptying of the gastric content into the small intestine that occurs following a gastric resection
• symptoms are 30mins after eating
• vomiting
• borborygmi ( loud gurgling sounds )

Education ^
Avoid big meals
Avoid alcohol and caffeine
Lie down after 20-30mins to prevent emptying