-
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
- Ishemia
- Drugs that increase acid production aspirin
-
Which factors or conditions may increase gastric acid secretion?
- Some foods: Alcohol, Caffeine, Chocolate, spices (pepper)
- Stress
- 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)
- -Antacids
- -Proton pump inhibitors
- -Histamine blocking agents
- -Muscosal protectants
- Diet Therapy
- Surgery
-
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?
- periferation
- obstruction
- hemorrhage
-
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
|
|
