Peptic Ulcer Disease Candice W. Laney Spring 2014

Peptic Ulcer Erosion of a mucous membrane forms an excavation in the stomach, pylorus, duodenum, or esophagus Associated with infection of H. pylori Risk factors include excessive secretion of stomach acid, dietary factors, chronic use of NSAIDs, alcohol, smoking, and familial tendency. Manifestations include a dull gnawing pain or burning in the mid-epigastrium; heartburn and vomiting may occur Treatment includes medications, lifestyle changes, and occasionally surgery (See Tables 37-1 and 37-3)

Deep Peptic Ulcer

Surgical Procedures for Peptic Ulcers

Question Is the following statement True or False? The most common site for peptic ulcer formation is the pylorus.

Answer False The most common site for peptic ulcer formation is not the pylorus. The most common site for peptic ulcer formation is the duodenum.

Nursing Process: The Care of the Patient with Peptic Ulcer—Assessment Assess pain and methods used to relieve pain Dietary intake and 72 hour diet diary Lifestyle and habits such as cigarette and alcohol use Medications; include use of NSAIDs Sign and symptoms of anemia or bleeding Abdominal assessment

Nursing Process: The Care of the Patient with Peptic Ulcer—Diagnoses Acute pain Anxiety Imbalanced nutrition Deficient knowledge

Collaborative Problems/Potential Complications Hemorrhage Perforation Penetration Pyloric obstruction (gastric outlet obstruction)

Nursing Process: The Care of the Patient with Peptic Ulcer—Planning Major goals for the patient may include relief of pain, reduced anxiety, maintenance of nutritional requirements, knowledge about the management and prevention of ulcer recurrence, and absence of complications.