Peptic Ulcers

Question 1

Common cause of ?

Answer 1

GI bleeding

Question 2

Where all can it be?

Answer 2

Esophagus
Stomach
Duodenum

Question 3

What is present?

Answer 3

Erosion

Question 4

S/s

Pain

Answer 4

Burning pain in mid-epigastric area/back

Heartburn

Question 5

Diagnosis: EGD, endoscopy

Pre-procedure

Answer 5

NPO

Question 6

Diagnosis: EGD, endoscopy

Sedated or awake?

Answer 6

Sedated

Question 7

Diagnosis: EGD, endoscopy

NPO until when?

Answer 7

Gag reflex returns

Question 8

Diagnosis: EGD, endoscopy

Watch for perforation by watching for what?

Answer 8

Pain
Bleeding
Trouble swallowing

Question 9

Diagnosis: Upper GI

Looks at?

Answer 9

Esophagus and stomach with dye

Question 10

Diagnosis: Upper GI

NPO

Answer 10

Past midnight

Question 11

Diagnosis: Upper GI

No what?

Answer 11

Smoking
Chewing gum
Mints

*remove nictone patch too

Question 12

Diagnosis: Upper GI

Stomach increases stomach ___ which will affect test

Answer 12

Motility

Question 13

Diagnosis: Upper GI

Smoking ___ stomach secretions, which will increase chance of ?

Answer 13

Increases; aspiration

Question 14

Treatment: Meds

Antacids: Liquid or tab. why?

Answer 14

Liquid to coat stomach

Question 15

Treatment: Meds

When to take antacids?

Answer 15

When stomach is empty and at bedtime

*acid can get on ulcer; take antacid to protect the ulcer

Question 16

Treatment: Meds

PPI end in?

Answer 16

-Prazole

Question 17

Treatment: Meds

Why take PPI?

Answer 17

Decrease acid secretions

Question 18

Treatment: Meds

H2 antagonist end in?

Answer 18

-Tidine

Question 19

Treatment: Meds

GI cocktail?

Answer 19

Never do it until you’ve ruled out MI/cardiac

Question 20

Treatment: Meds

Why give antibiotics?

Answer 20

For H. pylori

Question 21

Treatment: Meds

What if you give tetracycline for H. pylori. Teaching?

Answer 21

Stains teeth (drink through straw)
Don't give to pregs or kids (effects bones)
Avoid sunlight

Question 22

Treatment: Meds

What is sucralfate?

Answer 22

Forms a barrier over the wound so acid can’t get on ulcer

Question 23

Treatment: Client teaching

Decrease?

Answer 23

Stress

Question 24

Treatment: Client teaching

Stop

Answer 24

Smoking

Question 25

Treatment: Client teaching

Eat

Answer 25

What you can tolerate

*avoid temp. extremes, spicy foods, and caffeine

Question 26

Treatment: Client teaching

Need to be followed for ___

Answer 26

1 yr

Question 27

Gastric ulcer

Nutrition

Answer 27

Malnourished

Question 28

Gastric ulcer

Pain

Answer 28

1/2-1 hour after meal

Question 29

Gastric ulcer

Pain relief

Answer 29

Vomit

Question 30

Gastric ulcer

Blood in __

Answer 30

Vomit

Question 31

Duodeneal ulcers

Nutrition

Answer 31

Well nourished

Question 32

Duodeneal ulcers

Pain

Answer 32

Night time pain 2-3 hours after a meal

Question 33

Duodeneal ulcers

Pain relief

Answer 33

Food

Question 34

Duodeneal ulcers

Where is blood

Answer 34

Stool

Question 35

G or D?

Pain 1/2-1 hour after meal

Answer 35

G

Question 36

G or D?

Well nourished

Answer 36

D

Question 37

G or D?

Malnourished

Answer 37

G

Question 38

G or D?

Vomit has blood

Answer 38

G

Question 39

G or D?

Food is pain relief

Answer 39

D

Question 40

G or D?

Blood in stool

Answer 40

D

Question 41

G or D?

Vomit for pain relief

Answer 41

G

Question 42

G or D?

Pain 2-3 hours after meal

Answer 42

D