Gastritis
Involves only the stomach?
Gastritis
True or False:
Heartburn usually happens after eating and might be worse at night or why lying down?
True
Symptoms?
Nausea
Heartburn
Intolerance to fatty foods
Feeling of fullness, bloating, belching
Burning stomach pain
Involves the stomach and the intestines?
Gastroenteritis
Stomach acid or bile irritates the food pipe lining more than twice a week?
GERD
Signs & Symptoms?
Heartburn
Loss of Appetite
Nausea/ Vomiting
Bloating
Indigestion
Ongoing cough
Inflammation of the vocal cords (laryngitis)
New or worsening asthma
Nighttime Acid Reflux
Diagnosis?
H. Pylori- Blood, stool or breath test to detect
Endoscopy
Upper GI series
What is the purpose of Proton Pump Inhibitors (PPI)?
Reduces stomach acid
Omeprazole (Pilosec), Lansoprazole (Prevacid), Esomeprazole (Nexium), Pantoprazole (Protonix)
What is the purpose for Famotidine (Pepcid AC)
Help relieve ulcer pain and help with healing
Nursing Management?
NPO to rest stomach
Monitor IV fluids
Give antibiotics
Famotidine is also known as this?
Is it a PPI, antacid, or H2- receptor?
Pepcid
H2i- receptor
Appear on the inside of the stomach
Gastric Ulcers
Patient is experiencing emesis of blood, dizziness and black tarry stools?
Peptic Ulcer Bleeding
What are the most common causes of peptic ulcers?
Infection of H. Pylori
Long- term use of NSAIDs
Treatment?
Withhold ALL foods PO and admin drugs that slow down the peristaltic action of the GI tract
IV fluids for severe dehydration
Antispasmodics-Dicyclomine(Bentyl), Hyoscyamine (Hyosyne)
Antacids, H2 receptor or a PPI
Signs & Symptoms?
Backwash of food or sour liquid in the throat
Burning sensation in the chest (Heartburn)
Upper bell or chest pain
Dysphagia
Sensation of a lump in the throat
Appear on the inside of the upper part of the small intestine (duodenum)
Duodenal Ulcers
You are a nurse taking of a patient with a peptic ulcer. What would you teach your patient?
Avoid stress and spicy foods
Stress and spicy foods do not cause peptic ulcers but they can make the symptoms worse
Bacteria that contributes to the GI tract disorders such as Gastritis?
Helicobacter Pylori (H. Pylori)
Causes?
Excessive amounts of alcohol
Contaminated of food
Cocaine use
Ingestion of medications
Treatment?
PPI
Famotidine (Pepcid)
Pantoprazole (Protonix), Esomeprazole (Nexium)
GI Cocktail
H2 Inhibitors
Stomach Cancer, Blockage, Perforation (Peritonitis), Bleeding in stomach or duodenum are all signs of peptic ulcer_______?
Complications
The patient complains of diarrhea, vomiting, and abdominal cramping. When checking the patient you notice inflammation of the stomach and small intestine. What is this patient experiencing?
Gastroenteritis
You teach the patient these instructions due to them having?
Avoid spicy/ fatty foods
Wait 2-3 hours after food consumption to lay down
Use wedge pillow to elevate head
Eat smaller portions
GERD