Peptic Ulcer Disease (PUD) Basics
This bacteria is a common cause of peptic ulcer disease, often contracted from contaminated food or water.
What is Helicobacter pylori (H. pylori)?
This type of abdominal pain is reported by many patients with gastric ulcers.
What is dull and aching pain?
This antidiarrheal can also be used for PUD but it contains salicylates.
What is bismuth subsalicylate (Pepto-Bismol)?
This type of dumping happens 15–30 minutes after eating.
What is early dumping syndrome?
You should auscultate this before giving oral medications to a PUD patient.
What are bowel sounds?
These over-the-counter pain relievers can damage the stomach lining and contribute to PUD.
What are NSAIDs (non-steroidal anti-inflammatory drugs)?
Eating food often causes this reaction in gastric ulcer patients.
What is increased pain (1–2 hours after eating)?
This medication should never be given to pregnant women because it can cause abortion or birth defects.
What is Cytotec (misoprostol)?
This condition occurs 3 hours after eating due to a spike in insulin.
What is late dumping syndrome?
A sudden change in this vital sign could indicate GI bleeding.
What is blood pressure (drop in BP)?
This type of acid and digestive enzyme combination begins to erode the stomach lining in PUD.
What are hydrochloric acid and pepsin?
A patient with PUD vomits a substance resembling this common breakfast beverage.
What is coffee (coffee ground emesis)?
These drugs block histamine receptors in the stomach and include Zantac and Pepcid.
What are H2 blockers (histamine-2 receptor antagonists)?
In early dumping, fluid shifts from the blood into this part of the small intestine.
What is the jejunum?
This term describes blood in the stool or vomit.
What is GI bleed (melena or hematemesis)?
This medication class blocks acid production and includes drugs like Protonix and Nexium.
What are proton pump inhibitors (PPIs)?
This kind of diet is recommended for patients with PUD.
What is a bland, low-fiber, easy-to-digest diet (e.g., white rice, bananas)?
Proton pump inhibitors and H2 blockers both reduce this stomach component.
What is gastric acid?
Symptoms of late dumping resemble this metabolic condition.
What is hypoglycemia?
This type of medication is typically given with antibiotics to treat H. pylori infection.
What are PPIs or bismuth compounds?
This IV medication used to treat ulcers must be given through a separate IV line with a pump and filter.
What is Protonix IV?
Name two food or drink types that PUD patients should avoid.
What are spicy foods, caffeine, chocolate, acidic foods, soft drinks, or alcohol?
True or False: Protonix IV can be given with other IV drugs through the same line.
What is false?
Name two symptoms of early dumping syndrome.
What are nausea, bloating, diarrhea, hypotension, syncope, or dizziness?
Patients who've had part of their stomach removed are at risk for this complication after eating.
What is dumping syndrome?