Ulcers
A hallowed out area of the lining of the stomach or intestine
What is Peptic Ulcer
Definition of Obesity
Weight more than 2x ideal body weight or BMI > 30
Colon becomes hypersensitive and overreacts to mild stimulation
What is Irritable Bowel Syndrome
Complication of a perforated ulcer
What is peritonitis
Post-op care after an Endoscopy
Continuous pulse oximetry x 12 hours
Assess neurological status q 2 hours x 2 then q 4 hours x 2
Vital signs q 4 hours
Assess for s/s perforated esophagus
NPO until gag reflex returns (back of the throat numbed for procedure)
10 -14 days of double antibiotic therapy & a Proton Pump Inhibitor
What is triple treatment for H.Pylori
What is
BMI >40 (no co-morbidities) or >35 with weight related co-morbidities
Unsuccessful history of weight loss
Symptoms include loose, bulky stools, diarrhea that could be gray color or yellow
What is Malabsorption
Symptoms of ulcer perforation
Sudden, “knife-like” abdominal pain (may include referral to right shoulder)
Tender, rigid abdomen
Sudden vomiting
Hypotension, tachycardia
Extreme diaphoresis
Nurse responsibility during an Endoscopy
What is monitor for hypotension and respiratory depression
Pain 30 minutes after eating
What is Gastric Ulcer
Duodenum is bypassed, which limits absorption of calories and nutrients
What is Gastric By-Pass (Rouex-en-Y)
Symptom includes dull pain in the periumbilical area that progresses to the RLQ as a sharp pain and rebound tenderness
What is appendicitis
Diagnosis of PUD
What is Endoscopy
Dietary modifications for PUD
Avoid spicy, fried foods
Limit milk / dairy intake
Avoid alcohol and caffeine
Eat 3 regular meals a day
Symptom of weight gain
What is Duodenal Ulcer
Does not require “re-routing” of the stomach or implantation of an artificial device inside of the body
What is Gastric Sleeve
Inflammatory bowel disease that leads to chronic inflammation with development of scattered ulcerations on the mucosa
What is Crohn’s Disease
Complication of constipation that includes abdominal distention, leakage of liquid feces, constipation. May lead to intestinal perforation
What is Megacolon
Treatment for IBS
What is
1.Relieve pain
2.Control symptoms -Learn triggers (what foods, activities, etc.), High fiber diet / increased fluids, Antidepressants/ antispasmodics / probiotics / antibiotics / antidiarrheals / prevent constipation, Smoking / alcohol cessation, Small, frequent meals
3.Reduce stress -Exercise, Relaxation techniques
Vomitting is common and may relieve pain
What is Gastric Ulcer
Food is emptied too quickly from the stomach into the small intestines, not allowing time for dilution of fats/ carbohydrates
What is Dumping syndrome
Symptoms include bloody, mucous diarrhea / + guaiac and abdominal pain (LLQ)
What is Ulcerative Colitis
Dehydration, electrolyte imbalances, skin breakdown
What is complications of Diarrhea
Diet for patients with diverticulitis
Clear liquid until symptoms are gone, then high-fiber, low-fat