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Peptic Ulcer Disease

The document provides a comprehensive overview of Peptic Ulcer Disease (PUD), detailing its pathophysiology, signs and symptoms, complications, diagnostic tests, collaborative care, and nursing management. Key complications include GI bleeding, perforation, and gastric outlet obstruction, with various diagnostic methods such as endoscopy and blood tests. Treatment strategies encompass medication, dietary adjustments, and surgical options for severe cases.

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6 views

Peptic Ulcer Disease

The document provides a comprehensive overview of Peptic Ulcer Disease (PUD), detailing its pathophysiology, signs and symptoms, complications, diagnostic tests, collaborative care, and nursing management. Key complications include GI bleeding, perforation, and gastric outlet obstruction, with various diagnostic methods such as endoscopy and blood tests. Treatment strategies encompass medication, dietary adjustments, and surgical options for severe cases.

Uploaded by

yaaass2004
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Rejoice Adekoya, Gabrielle Cage, Imani Edwards, Anashia McMillan

Peptic Ulcer
Disease
Table of Contents

Pathophysiology/ Signs and Symptoms COMPLICATIONS


Etiology

DIAGNOSTIC TESTS COLLABRATIVE CARE NURSING MANAEMENT


Pathophysiology/ Etiology
erosion of the gi mucosa by HCl acid & pepsin
Acute ulcer: superficial erosion &
minimal inflammation
Chronic ulcer: long duration, can
erode through muscular wall
Back diffusion of HCl acid into the gastric mucosa causes
cellular destruction & inflammation. In response to
inflammation, histamine is released which causes
vasodilation & increased capillary permeability which
causes further secretion of acid and pepsin.

stimulate extensive acid secretion: Acids,


bile salts, aspirin, nsaids, alcohol,
ischemia, Helicobacter pylori
(Harding, Kwong & Hagler, 2023, pg 1067 & 1068)
Signs and Symptoms
• GI bleeding
• Perforation
• Gastric outlet obstruction
• Pain
• Anxiety
• Irritability
• Nausea
•Vomiting

(Harding, Kwong & Hagler, 2023, pg 1070)


COMPLICATIONS
There are 3 major complications with PUD

1. GI Bleeding
The most common
2. Perforation
the most lethal
the manifestations are sudden and

dramatic
food nor antacids relieve
symptoms

3. Gastric outlet obstruction


Obstruction is the result of
edema, inflammation, pylorospasm,

or fibrous scar tissue formation.

(Harding, Kwong & Hagler, 2023, pg 1071)


DIAGNOSTIC TESTS
1. Endoscopy
2. A barium constract study
3. Esophagogastroduodenoscopy
4. Complete Blood Count test
5. Serum Amylase
6. Stool examination
7. Helicobacter pylori test

(Harding, Kwong & Hagler, 2023, pg 1069/1070)


COLLABRATIVE
CARE
nutrition therapy
surgical therapy Avoid eating and drinking fluids
Drug Therapy that cause distressing symptoms.
Gastric surgeries are used for
patients with complications, Antibiotic Therapy: prescribed concurrently for 14 days Foods causing gastric irritation:
with PPI to eradicate H.Pylori. pepper, carbonated beverages,
patients who are unresponsive
Proton Pump Inhibitors (PPI): reduce gastric acid broth, hot spicy foods.
to medical management, or
secretion and promote ulcer healing. Caffeine beverages increase
patients with concerns about
Cytoprotective Therapy: provides mucosal protection symptoms.
stomach cancer.
for short-term ulcer treatment. Alcohol delays healing.
Adjunct Drugs: H2 recpetor blockers and antacids
promote ulcer healing, as well as pain relief.

(Harding, Kwong & Hagler, 2023, pg 1070)


NURSING
mANAGEMENT
Assesment Planing Implementation Evaluation
Gather both subjective Adhere to therapeutic regimen Expected outcomes:
For exacerbations, manage with:
and objective data from Achieve pain relief Pain managed without analgesics.
NPO status, NG tube suction, and IV fluids.
the patient. Be free from complications Commitment to self-care.
Monitor for GI bleeding and perforation.
Assess symptoms like pain, Have complete ulcer healing Free from complications.
Address gastric outlet obstruction with NG
nausea, vomiting, and Make lifestyle changes to
aspiration and fluid replacement.
changes in appetite. prevent recurrence
Ambulatory Care, educate on:
Disease management, lifestyle changes, and
follow-up care.
Importance of avoiding NSAIDs and reporting
symptoms early.

(Harding, Kwong & Hagler, 2023, pg 1074)


Questions?
Peptic Ulcer Disease Quizlet
Refrences
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2023). Lewis’s Medical-
Surgical Nursing: Assessment and management of clinical problems (12th ed.).
Elsevier, Inc.

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