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Cultura Documentos
Location
Accessory Organ
Liver
Function
Pancreas
24-hour pH testing
MRI
CT scan
Drug Therapy
Antacids
Histamine-2 (H2) receptor antagonist
Proton pump inhibitors (PPIs)
Anticholinergics
Antidiarrheal agents
Laxatives
Emetics
antiemetics
UPPER GI
PROBLEM
Ulcers, Peptic
A mucosal
lesion of the
stomach or
duodenum.
CLINICAL
MANIFESTATION
Gastric ulcer
Regurgitation
Gastritis
Inflammation
of the gastric
mucosa
Duodenal ulcer
Chronic
high gastric acid
secretions
most common type
of peptic ulcer
Stress ulcer
Acute and chronic
Bleeding from
gastric erosion
(principal
manifestation)
Lesions
Edema, hemorrhage,
and erosion of gastric
lining.
Acute
Epigastric
discomfort, pain,
cramping
Anorexia,
dyspepsia, nausea
and vomiting
Hematemesis,
melena
Gastric Hemorrhage
Gastric infection, H.
pylori
Chronic
Nausea, vomiting,
upper GI discomfort
Anorexia
Intolerance of
fatty/spicy foods
Pernicious anemia
(Type A)
H. pylori (Type B)
DIAGNOSTIC
TEST/EXAMS
Hemoglobin
and
hematocrit
levels
H. pylori test
Upper GI
series if no
perforation is
suspected
CT scan if
perforation is
suspected
EGD (major
diagnostic
test for PUD
and the most
accurate
means of
establishing a
diagnosis)
DRUG
THERAPY
PPI or H2
receptor
blockers to
inhibit gastric
acid secretion
Antacids
(buffering
agents)
decrease
pain, given
q2h after
meals
Mucosal
barrier
fortifiers
provide
protective
coating
Antibiotics for
H. pylori
include
metronidazole
, amoxicillin,
ciprofloxacin
or
tetracycline.
Blood
transfusion
and fluids for
GI bleeding
may be
needed.
H2 receptor
antagonist
famotidine
(Pepcid) to
block gastric
secretions
PPIs
omeprazole
(Prilosec) or
Protonix to
suppress
gastric acid
secretion
Antacids
(buffering
agents)
Antibiotic with
PPI and
bismuth
subsalicylates
if bacterial
NURSING
INTERVENTIONS
Acute of Chronic Pain
Teach patient to
avoid caffeine,
alcohol and tobacco
and NSAIDs
Monitor for gastric
outflow or pyloric
obstruction
manifested by a
feeling of fullness,
nausea after eating,
vomiting
undigested food,
distention,
tenderness, and
reduced bowel
sounds.
Take vitamin B12
injections as
appropriate.
Risk For GI Bleeding
Manage
hypovolemia,
hemorrhage and
perforation
Teach patient to
avoid steroids,
chemotherapeutic
agents, NSAIDs
Avoid OTC drugs
with other
medication.
Avoid heavy meals
Reduce discomfort
with progressive
relaxation,
cutaneous
stimulation, guided
imagery, and
distraction.
infection
Stomatitis
Refers to
inflammation
within the oral
cavity
Gastroesopha
geal Reflux
Disease
(GERD)
Inflammation
Dyspepsia
(heartburn or
pyrosis) is the
primary symptom,
and can resemble
angina. Severe
heartburn may
radiate to neck, jaw
or back.
Water brash (reflex
salivary
hypersecretions)
Dysphagia or
odynophagia
Chronic cough
Belching and
flatulence after
eating
Regurgitating of
warm, bitter fluids
not associated with
belching or nausea.
Sliding Hernia
Heartburn
Regurgitation
Chest pain
Dysphagia
Belching
Paraesophageal/Rolling
Hernia
Feeling of fullness
after eating
Feeling
breathlessness or
suffocation
Chest pain that
mimic agina
Worsening of
manifestations in a
recumbent position
Protrusion of
the stomach
through the
esophageal
hiatus of the
diaphragm
into the
throrax
Oral Cancer
Backflow
(reflux) of GI
contents into
the
esophagus
Hernia, Hiatal
Painful single or
multiple ulcerations
of the oral mucosa
24 hour pH
monitoring
Esophageal
manometry
(motility
testing)
Scintigraphy
(measure of
reflux of
radioisotope)
Antimicrobials
Immune
modulators
Symptomatic
topical agents
Proton pump
inhibitors
(PPIs) are the
main
treatment
H2 histamine
receptor
blockers
Antacids
Prokinetic
drugs
Barium
swallow study
with
fluoroscopy is
the most
specific
diagnostic
test
Biopsy
Drug therapy
controls reflux
and its
symptoms
PPIs
Antacids
Histamine
receptor
antagonists
Lapra
Nissen
Fundoplicati
on (LNF)
Radiation
mouth
Poor appetite
Difficulty chewing
and/or swallowing
Thick/absent saliva
Painless oral lesions
that is red, raised,
or eroded
Thickening or lump
in cheek
Chemotherap
y treatment
with other
drugs
Steroids for
edema
Antibiotics for
infections
Cool mist
supplied via
face tent to
assist with O2
transport and
control of
edema.
airway is the
nurses priority for
care of patients
with copious,
tenacious (thick &
stringy) secretions.
Establish oral
hygiene care