Stomach Disorders: Gastritis, PUD, & Upper GI bleed Flashcards
Risk factors for Gastritis?
- Meds
- items that cause distress to GI
- Lifestyle
What meds can cause Gastritis?
- NSAIDS/aspirin
- Corticosteroids
What foods can cause Gastritis?
- caffeine
- chocolate
- mustard
- bell peppers/onion
- hot spices
- high acid
What lifestyle habits can cause Gastritis?
- ETOH, caffeine
- Emotional stress/ anxiety
- Tobacco/smoking
- Infection!!!
What types of infection can caused Gastritis?
- H. pylori
- Staphylococci
- Steptococci
- E. coli
- Salmonella
What is the main diagnostic test for Peptic ulcer disease?
Breath testing
What does breath testing do?
Analyze whether or not it is caused by H. pylori
What does an EGD help diagnose with PUD?
WHERE the damage of the ulcer is
What other tests can be used for PUD?
- serologic testing
- Upper GI
What is the upper GI test?
Barium Swallow Test
What monitoring needs to be done with a pt with upper GI bleeding?
- Serial H and H
- VS
- assess for need of fluids/blood replacement
- *large bore IV needed
When can shock occur due to blood loss (how much blood)
1L/24hours
What treatments can be done for Upper GI bleeding?
- Lavage
- EGD
- Acid suppression
What is used to do lavage?
room temp tap water!! (does NOT have to be sterile b/c the gut isn’t sterile)
What does the nurse need to record with lavage?
how much fluid goes in versus how much comes out
Pt position for lavage?
LEFT side
How much water is instilled during lavage
-instill tap water until it comes out CLEAR (will be bloody for a while)
**200-300mL normally
What needs to be counted during lavage
number/size of blood clots
T or F: EGD can be done bedside
T
pre-procedure teaching for EGD?
NPO for 4-6 hours before
**consent must be signed!!
What occurs during EGD to stop GI bleeding?
- inject chemicals into bleeding site
- treat bleed with heat, electricity, laser
- close affected blood vessels with band or clip
What meds can be given to suppress acid?
- H2 blockers (-tidine)
- PPI (-prazole)
- Antacids
Which is most effective in reducing gastric acid?
Proton Pump Inhibitors
