1. Peptic Ulcer Disease
Candice W. Laney
Spring 2014

2. 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)

3. Deep Peptic Ulcer

4. Surgical Procedures for Peptic Ulcers

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

6. 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.

7. 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

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

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

10. 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.