Peptic Ulcers Flashcards
It is a common cause of GI bleeding.
Peptic ulcers
Peptic ulcers can be in the ___, ___, or ___.
esophagus, stomach, duodenum
Is erosion present with peptic ulcers?
Yes
What are s/s of peptic ulcers?
- Burning pain (mid-epigastric area/back)
- Heartburn (dyspepsia)
What two procedures diagnose a peptic ulcer?
- EGD (gastroscopy)
- Upper GI series
Nursing care for gastroscopy (EGD).
- NPO pre-procedure.
- Sedated
- NPO until gag reflex returns.
- Watch for perforation by watching for pain, bleeding, or if they have trouble swallwoing.
Patients are kept NPO after a gastroscopy (EGD) until when?
Gag reflux returns
What do you watch for perforation after an EGD?
Watch for pain, bleeding, or if they have trouble swallowing
What is upper GI series used for?
To look at the esophagus and stomach with dye.
Nursing care for upper GI series.
- NPO past midnight.
- No smoking, chewing gum, or mints.
- Remove any nicotine patches.
- Smoking increases stomach motility, which will affect the test.
- Smoking increases stomach secretions, which will increase the chance of aspiration.
Why should you not smoke chew gum, or mints before a Upper GI series? and remove nicotine patches?
- Increases stomach motility which will affect test
- Increases stomach secretions which increase chance of aspiration
What medications are used for treatment of peptic ulcers?
- Antacids (liquids to coat stomach and take when empty stomach)
- Proton pump inhibitors
- H2 antagonist (famotidine)
- GI cocktail
- Antibiotics for H.pylori
- Sucralfate (forms barrier to protect from acid)
What client teaching should be included for peptic ulcer?
- Decrease stress
- Stop smoking
- Avoid food temperature extremes
- Avoid spicy foods
- Avoid caffeine
- Need follow-up
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?
Gastric ulcers
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?
Duodenal Ulcers
