Peptic Ulcer Disease Pharmacology and Nursing Care | Gastric and Duodenal Ulcer NCLEX Lecture Part 2

RegisteredNurseRN
1 Apr 201718:59

Summary

TLDRIn this video, the focus is on nursing interventions and medications for treating Peptic Ulcer Disease (PUD). It covers key assessments such as vital signs, bowel sounds, and potential complications like GI bleeding, perforation, and obstruction. The video also highlights the importance of patient education and interventions, including diet modifications, small frequent meals, and managing dumping syndrome. Additionally, it provides an overview of medications like antacids, mucosal healing drugs, H2 blockers, PPIs, and antibiotics, with explanations of their roles in managing PUD and H. pylori infections.

Takeaways

  • 😀 Assess the patient's vital signs, bowel system, and abdominal tenderness to monitor PUD and complications effectively.
  • 😀 Question the patient about the onset, location, and timing of pain to differentiate between gastric and duodenal ulcers.
  • 😀 Monitor for signs of GI bleeding such as tachycardia, low blood pressure, dark stools, or coffee-ground vomit.
  • 😀 Look out for complications like perforation and peritonitis, which can cause severe pain, vomiting, fever, and increased heart rate.
  • 😀 Be aware of obstruction, especially in duodenal ulcers, which can lead to vomiting and abdominal bloating.
  • 😀 Teach patients with dumping syndrome to eat small, frequent meals instead of large ones to avoid excessive fluid shifts.
  • 😀 Encourage patients with dumping syndrome to avoid drinking fluids with meals and wait 30 minutes before drinking after eating.
  • 😀 Advise patients to avoid sugary foods and drinks, which can trigger the release of insulin and worsen hypoglycemia in dumping syndrome.
  • 😀 Recommend a bland diet with low-fiber, easily digestible foods like bananas, white rice, and avoid spicy, acidic foods, caffeine, and alcohol.
  • 😀 Familiarize yourself with the key medication categories used for PUD, including antacids, mucosal healing drugs, H2 blockers, PPIs, and antibiotics for H. pylori infection.

Q & A

  • What is the goal of nursing interventions for a patient with Peptic Ulcer Disease (PUD)?

    -The goal of nursing interventions for a patient with Peptic Ulcer Disease is to assess, monitor, educate, and administer medications as per the physician's order.

  • What vital signs should be monitored in a patient with PUD?

    -Vital signs that should be monitored include heart rate, blood pressure, and signs of potential complications like GI bleeding, which may show as tachycardia and low blood pressure.

  • How can nurses assess a patient's bowel system when monitoring PUD?

    -Nurses should listen to bowel sounds (hyperactive, hypoactive, or absent), palpate the abdomen for tenderness or masses, and inspect stools for signs of GI bleeding, such as bright blood or coffee-ground appearance.

  • Why is it important to ask a PUD patient about their medication history?

    -It is important because certain medications, like NSAIDs, corticosteroids, and anticoagulants, can exacerbate PUD or lead to complications like GI bleeding.

  • What are the signs and symptoms of gastrointestinal bleeding in a PUD patient?

    -Signs and symptoms of GI bleeding include tachycardia, low blood pressure, weakness, pale appearance, bloating, low H&H (hemoglobin and hematocrit), and dark tarry stools or coffee-ground emesis.

  • What is peritonitis and how is it related to PUD?

    -Peritonitis is an inflammation of the peritoneum caused by gastric contents leaking into the abdominal cavity due to a perforated ulcer, leading to severe abdominal pain, bloating, vomiting, increased heart rate, and fever.

  • What is dumping syndrome and when does it occur in PUD patients?

    -Dumping syndrome occurs when the stomach is unable to regulate the movement of food after a gastric resection, leading to fluid shifts and symptoms like bloating, diarrhea, hypotension, and dizziness. It typically occurs 15-30 minutes after eating (early dumping) or 3 hours after eating (late dumping).

  • What patient education can help manage dumping syndrome?

    -Patients should eat small, frequent meals, lie down for 30 minutes after eating, avoid drinking fluids with meals, reduce sugar intake, and eat a diet high in protein and fiber while avoiding very hot or cold foods.

  • What foods should a patient with an active ulcer avoid?

    -Patients should avoid spicy and acidic foods, such as tomatoes, citrus fruits, caffeine products, chocolate, alcohol, and fried foods, as they can irritate the ulcer and prolong healing.

  • What are the common drug categories used to treat PUD and their mechanisms?

    -The common drug categories for PUD include antacids (which neutralize stomach acid), mucosal healing drugs like sucralfate (which protect ulcerated tissue), H2 receptor blockers (which reduce acid production), PPIs (which block the proton pump to decrease acid), and antibiotics (used to treat H. pylori infection).

Outlines

plate

Esta sección está disponible solo para usuarios con suscripción. Por favor, mejora tu plan para acceder a esta parte.

Mejorar ahora

Mindmap

plate

Esta sección está disponible solo para usuarios con suscripción. Por favor, mejora tu plan para acceder a esta parte.

Mejorar ahora

Keywords

plate

Esta sección está disponible solo para usuarios con suscripción. Por favor, mejora tu plan para acceder a esta parte.

Mejorar ahora

Highlights

plate

Esta sección está disponible solo para usuarios con suscripción. Por favor, mejora tu plan para acceder a esta parte.

Mejorar ahora

Transcripts

plate

Esta sección está disponible solo para usuarios con suscripción. Por favor, mejora tu plan para acceder a esta parte.

Mejorar ahora
Rate This

5.0 / 5 (0 votes)

Etiquetas Relacionadas
Nursing CarePeptic UlcerMedical EducationPUD TreatmentNursing InterventionsGastrointestinalMedication ManagementHealth EducationGI ComplicationsPatient CareNursing Lecture
¿Necesitas un resumen en inglés?