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Barrett's Esophagus causes
long-term exposure to stomach acid
Barrett's Esophagus S/S
-heartburn
-indigestion
-blood in vomit/stools
-difficulty in swallowing solid foods
-nocturnal regurgitation (acidic/bitter liquid coming up to the
chest/mouth during the night)
Tx for Barrett's Esophagus
-medical monitoring
-medications
-surgery
Dx Testing for Barrett's Esophagus
upper endoscopy w/biopsy
,NI for Barrett's Esophagus
-assist w/ determining the cause of GERD w/ clients
-review lifestyles that can decrease gastric reflux
Peptic Ulcer Disease is
a sore or open area in the lining of the stomach/duodenum (1st part of the
small intestine)
Peptic Ulcer Disease Pathophysiology
a condition by erosion of GI muscosa from digestive action of HCL acid
pepsin
S/S of Peptic Ulcer Disease
-acute pain
-nausea
-lack of knowledge, burning/gaseous
-pressure in epigastric
-cramping
-back pain
Risk Factors for Peptic Ulcer Disease
-pts takes corticosteroids/anticoagulants
-NSAIDs
-high alcohol intake
-smoking
-psychological distress/stress
,Laboratory test for Peptic Ulcer Disease
-CBC
-liver enzymes
-serum amylase
Dx testing for Peptic Ulcer Disease
-upper GI endoscopy
-biopsy
-stool testing for blood (GUALC test)
Safety Considerations for Peptic Ulcer Disease
-maintain patency of NG tube to prevent blood clots
-irrigate the NG tube w/NS solution to assist functioning
, Nursing Interventions for Peptic Ulcers
-provide a quiet/restful environment
-give IV fluids & record I&O
-monitor changes in VS (could indicate GI bleeding)
-avoid NSAIDs
-no smoking
-limit coffee
Client Education for Peptic Ulcer Disease
-avoid foods that cause gastric distress such as acid foods
-avoid OTC
-stress can relate to S&S and PUD
-no alcohol
-no coffee
-no smoking
Complications for Peptic Ulcer Disease
-hemorrhage (bleeding from a damaged blood vessel)
-perforation (whole in organ)
-gastric outlet obstruction
H Pylori infections are caused by peptic ulcers