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What is PUD?
Peptic Ulcer Disease
What is LUQ?
Left Upper Quadrant (Contains spleen)
Wnat is N&V?
Nashua and Vomiting
What is AIDS?
Acquired Immune Deficiency Syndrome
What is DAT?
Diet as Tolerated
Which foods may increase gastric acid secretion?
Highly acidic food, caffeine, and greasy food
What is ischemia?
Reduction in blood supply to a localized organ.
What is Zollinger-Ellinson Syndrome?
Rare syndrome including diarrhea and severe peptic ulceration due to gastric hypersecretion secondary to excessive gastrin release from an endocrine gastric and pancreatic neoplasm.
What is a gastrectomy?
Surgical excision or removal of part or all of the stomach
What is Gastrostomy?
Formation of an artificial or surgical opening into the stomach
What is a Fistula?
Abnormal opening or connection formed between one epithelial surface and another. The artificial passage can be between two organs or two parts of the same organ.
What is Vagotomy?
Surgical incision of the vagus nerve
What is Gastritis?
Inflammation of the stomach, especially the mucosa, with leukocyte infiltration.
What is a peptic ulcer?
A break in the mucosa of an organ if the alimentary tract.
What is Dyspepsia?
Impaired digestion of stomach content with epigastric pain caused by disorders affecting gastric function.
What are the casual agents of peptic ulceration?
- Infections including H. pylori
- Drugs that increase acid production aspirin
Which factors or conditions may increase gastric acid secretion?
- Some foods: Alcohol, Caffeine, Chocolate, spices (pepper)
- Zollinger-Ellison Syndrome or other conditions
- Chronic H. pylori gastritis
- Fast emptying of stomach
Outline the treatment options for clients with peptic ulcers.
- Drug Therapy
- -Antimicrobial agents (Antibiotics)
- -Proton pump inhibitors
- -Histamine blocking agents
- -Muscosal protectants
- Diet Therapy
Outline the main goals if nutrition care for clients with PUD.
- 1. Meet nutritional needs, well-balanced diet, treat any deficiencies/malnutrition
- 2. Limit eating behaviors and intake of food that increase gastric HCl secretion and PUD symptoms
- 3. Teach pt to limit food and lifestyle behaviors that irritate the GI mucosa and are not tolerated
- 4. Encourage to take meds, adopt lifestyle needed for treatment
What are the usual dietary recommendation for clients with PUD?
- 1. Optimize dietary intake through health, well-balanced diet
- 2. limit caffeine containing foods
- 3. Limit spices
- 4. Regular meal intervals
- 5. Avoid alcohol, ciggs, and taking NSAIDs
- 6. Avoid high intake of fatty foods
- 7. If drinking milk in causing discomfort on an empty stomach or right before bed drink only with meals
- 8. limit food triggers
What are the complications if PUD?
What is the difference between gastropathy and gastritis?
- Gastrophy is the general term relating to any problem with the stomach
- Gastritus is specific inflammation and filtration of white blood cells
Why may PUD put clients at risk for malnutrition?
- Not abs Ca and Iron
- Bleed from loss if iron
- Vomit, dehydration, decreased electrolytes