Ulcer and GERD Basics
Risk Factors and Warning Signs
Antiulcer Drug Actions
Side Effects and Contraindications
Nursing Judgment and Patient Teaching
100

This condition occurs when acid and pepsin damage the lining of the stomach or duodenum.

Peptic ulcer disease

100

This common medication group can decrease protective prostaglandins and increase ulcer risk.

NSAIDs

100

These medications neutralize stomach acid already present.

Antacids

100

This antacid ingredient commonly causes constipation.

Aluminum

100

Patients taking antacids should separate them from other medications because antacids can affect this.

Medication absorption

200

This type of ulcer occurs in the stomach.

Gastric ulcer

200

These two lifestyle factors can irritate the stomach and delay ulcer healing.

Smoking and alcohol use

200

These medications block histamine2 receptors and reduce acid secretion.

H2 blockers

200

This antacid ingredient commonly causes diarrhea and should be used cautiously in kidney disease.

Magnesium

200

Patients taking sucralfate should usually take it this way for best ulcer coating effect.

On an empty stomach

300

This type of ulcer occurs in the first part of the small intestine.

Duodenal ulcer

300

This stool finding may indicate upper GI bleeding.

Black, tarry stools

300

These medications block the final step of gastric acid production.

Proton pump inhibitors or PPIs

300

This systemic antacid can cause sodium overload and metabolic alkalosis.

Sodium bicarbonate

300

This teaching helps reduce nighttime reflux symptoms.

Elevate the head of the bed and avoid lying down after meals

400

This disorder occurs when stomach contents reflux into the esophagus.

GERD

400

This vomit appearance may indicate upper GI bleeding.

Coffee-ground emesis

400

This medication forms a protective barrier over the ulcer, acting like a bandage.

Sucralfate

400

These classic side effects include dry mouth, blurred vision, constipation, and urinary retention.

Anticholineregic side effects

400

This is the priority teaching for patients taking misoprostol who can become pregnant.

Avoid pregnancy and use reliable contraception
500

This bacterium is associated with many peptic ulcers.

Helicobacter pylori, or H. pylori

500

These symptoms with GERD require provider evaluation because they may indicate complications.

Trouble swallowing, weight loss, bleeding, persistent symptoms

500

This prostaglandin analogue helps protect the gastric lining from NSAID-related injury.

Misoprostol

500

This antiulcer medication is contraindicated in pregnancy because it can stimulate uterine contractions.

Misoprostol

500

A patient with chronic kidney disease takes magnesium hydroxide frequently for heartburn. The nurse is concerned because this antacid ingredient can accumulate and cause toxicity.


Magnesium

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