Signs&Symptoms/Risk Factors
A condition characterized by erosion of the GI mucosa from the digestive action of HCI and pepsin
Peptic Ulcer Disease (p. 910)
What is the gold standard of diagnosing H. Pylori infection
Biopsy of antral mucosa with rapid urease testing (913)
Name 3 major complications of Peptic Ulcer Disease
Hemorrhage, perforation & gastric outlet obstruction
(p. 912)
A______ may be used to educate patient on diet modifications and develop new dietary plans
Dietitian (p. 916)
These lifestyle factors increase risk for developing PUD
High alcohol intake, coffee, stress & smoking
(p. 912)
Most common disorder of the biliary system
Cholelithiasis (p. 1005)
What is a diagnostic test used to diagnosis gallstones
ERCP (p. 1007)
______ is the most common complication of PUD
Hemorrhage (p. 912)
These medications are effective for reducing gastric secretion and promoting ulcer healing & adherence is important for ulcer treatment
Proton Pump Inhibitors (p. 914)
Following cholecystectomy the nurse should encourage the patient to avoid a diet high in ______
excessive fats (p. 1010)
What are risk factors for developing gallbladder disease
women over 40, use of oral contraceptives, sedentary lifestyle, family history, obesity, multi pregnancies
(p. 1005)
What is treatment for symptomatic cholelithiasis
Cholecystectomy (p. 1007)
Discomfort & pain that is worse at the end of the day & associated with projectile vomit
Gastric outlet obstruction (p. 912)
Post-operative care following laparoscopic cholecystectomy should include monitoring for ______ & ______ control
Bleeding & Pain control (p. 1009)
An important finding the nurse should instruct the patient to report to the Dr following cholecystectomy
Reporting any bile-colored drainage or pus from any incision (p 1010 table 43-24)
This bacteria is associated with increased rates of PUD as it releases a that toxin that destroys tissue
H-Pylori (p. 911)
These non-invasive tests can be done for testing PUD
Serology, Stool, & Breath testing (p. 913)
Biliary cirrhosis & pancreatitis are complications of
Cholecystitis (p. 1007)
Teaching patient techniques on relaxation & _____
management are important in PUD management
This class of drugs increases risk for PUD
NSAIDS (p. 911)
Gnawing, burning, cramplike pain, generally felt 2-5 hours after a meal
Duodenal Ulcer (p. 912)
The most common drugs used to treat gallbladder disease
Analgesics, anticholinergics, fat-soluable vitamins & bile salts (p. 1008)
Complication characterized by sudden severe upper abdominal pain with radiating pain to back & rigid boardlike abdomen, shallow rapid respirations & tachycardia
Perforation (p. 912)
Overall expected outcomes for patient with gallbladder disease include : (2 answers )
1. Pt verbalized pain relief
2. Pt verbalized knowledge of diet restrictions/modifications
(p. 1010)
name some lifestyle changes the nurse would encourage a patient with PUD to include in treatment regimen
follow diet modifications, avoid cigarettes,avoid alcohol etc ( p. 916, table 41-17)