NUR 324 Lecture Notes - Lecture 15: Gangrene, Anal Canal, Pilonidal Cyst
Document Summary
Digestive diseases: gastritis, peptic ulcer disease, gastric cancer. Labs; cbc, stool analysis, h pylori test: acute gastritis. Cbc, stool analysis, hpyloi, upper endoscopy, gastric resection surgery remove a pyloric obstruction or diseased tissue: chronic gastritis. S/s: epigastric discomfort, anorexia, heartburn, belching, sour taste in mouth, n/v, Acute: npo with ivf (something with d5/electrolytes) -> ice chips -> clear liquids -> solids, no caffeine, alcohol, or smoking, monitor for gi bleeding, tachycardia, hypotension. Chronic: avoid caffeine and alcohol, no smoking, keep hydrated, no spicy foods. Peptic ulcer: excavation in the stomach, pylorus, duodenum, or esophagus, associated with infection of h. pylori, risk factors. Dull gnawing pain or burning in the mid-epigastrium: tenderness, abdominal distension. Duodenum ulcers: 2-3 hours after meals (relief with antacid or with eating again) Potential complications = hemorrhage, perforation, penetration, gastric outlet obstruction: treatment. Lifestyle changes: no nsaids, no smoking, diet changes, no alcohol, no caffeine, 3 regular meals with tolerated foods, no temperature extremes.
