Peptic Ulcer Disease: Management for Bleeding and Perforation

Question 1

Management for Bleeding

Answer 1

1. Monitor for signs of shock (hypotension, palpitations, diaphoresis, chills, weak, thready pulse)
2. Occult blood
3. Hematocrit, Hemoglobin, and Coagulation studies

NPO status, gastric decompression or lavage

Avoid NSAIDS to minimize GI bleeding

Vasopressin (Pitressin) - vasoconstricting drug)

Question 2

Management for Perforation

Answer 2

1. Replace lost fluids, blood, and electrolytes
2. Administer antibiotics
3. NPO status
4. Gastric lavage or decompression
5. Monitor for signs of septic shock

fever, tachycardia, anxiety
pain, lethargy