Peptic Ulcers

Question 1

Are they a common cause of GI bleeding?

Answer 1

Yes

Question 2

Can Peptic ulcers be in the esophagus, stomach or duodenum?

Answer 2

Yes

Question 3

Is erosion present with peptic ulcers?

Answer 3

Yes

Question 4

What are s/s of peptic ulcers?

Answer 4

• Burning pain (mid-epigastric area/back)

- Heartburn (dyspepsia)

Question 5

What two procedures diagnose a peptic ulcer?

Answer 5

• EGD (gastroscopy)

- Upper GI

Question 6

Does an EGD use sedation?

Answer 6

Yes (NPO prior)

Question 7

Patients are kept NPO after a EGD until when?

Answer 7

Gag reflux returns

Question 8

How do you watch for perforation after an EGD?

Answer 8

Watch for pain, bleeding, or if they have trouble swallowing

Question 9

What does a upper GI look at?

Answer 9

esophagus and stomach with dye

Question 10

NPO before an upper GI series?

Answer 10

Yes, past midnight

Question 11

Why should you not smoke chew gum, or mints before a Upper GI series? and remove nicotine patches?

Answer 11

No

• Increases stomach motility which will affect test
• Increases stomach secretions which increase chance of aspiration

Question 12

What medications are used for treatment of peptic ulcers?

Answer 12

• Antacids (liquids to coat stomach and take when empty stomach)
• PPI
• H2 antagonist (famotidine)
• GI cocktail
• Antibiotics for H.pylori
• Sucralfate (forms barrier to protect from acid)

Question 13

What client teaching should be included?

Answer 13

• Decrease stress
• Stop smoking
• Avoid food temperature extremes
• Avoid spicy foods
• Avoid caffeine

Question 14

What type of ulcers are present when a client appears malnourished; pain is usually half hour to 1 hour after meals; food doesn’t help, but vomiting does; vomit blood?

Answer 14

Gastric ulcers

Question 15

What type of ulcers are present when client appears well-nourished; night time pain is common and also occurs 2-3 hours after meals; food helps; blood in stools?

Answer 15

Duodenal Ulcers