peptic ulcer

Views:
 
Category: Education
     
 

Presentation Description

A study on peptic ulcer

Comments

Presentation Transcript

Peptic ulcer:

Peptic ulcer MANJU SIJU 2 ND YEAR P B BSc NURSING SCON

INTRODUCTION:

INTRODUCTION Peptic ulcer is a serious medical problem, Approximately 500,000 new cases are reported each year, Interestingly these are the highest risk of contracting peptic ulcer are those generation born around the middle of the 20 th century

ANATOMY AND PHYSIOLOGY:

ANATOMY AND PHYSIOLOGY

DEFINITION:

DEFINITION Peptic Ulcer is an erosion of the gastrointestinal Mucosa resulting from the digestive action of Hydrochloric acid and pepsin

CLASSIFICATION :

CLASSIFICATION Peptic ulcer can be classified as Acute or Chronic depending on the degree of mucosal involvement It also can be classified according to the Region or Location * Duodenum Ulcer * Esophagus Ulcer * Stomach Ulcer

CAUSES:

CAUSES Ulcers will not develop in the absence of acid, The primary cause for peptic ulcer is infection caused by H.pylori (Helicobacter pylori) which and is a Gram –ve Bacteria produces a chronic gastritis The other causes are Alcohol Smoking Aspirin Socio economic condition NSAIDS Very ill

pathophysiology:

pathophysiology

Duodenal and Gastric Ulcers:

Duodenal and Gastric Ulcers

SIGNS & SYMPTOMS:

SIGNS & SYMPTOMS DUODENAL ULCER GASTRIC ULCER Pain last for 30 min to 2hrs Dull Epigastric pain Mostly on the Epigastric location Near the midline May radiate around the back Occurs 1-3hrs after meals and at midnight Can occur any time Often relived by food or antacid Not usually relived by food or antacid

OTHER SIGNS &SYMPTOMS ARE:

OTHER SIGNS &SYMPTOMS ARE *Many people have symptomless ulcers *in 20% to 30% hemorrhage may occur *pain stimulates the exposed nerve endings. 1-Pain is usually relieved by eating or by taking alkali or by taking antacid *burning sensation in the midepigastrium *pyrosis (heartburn ) *vomiting *constipation or diarrhea. *Bleeding 15% of pt’s

Diagnostic Finding :

Diagnostic Finding *physical examination may reveal pain , epigastric tenderness , abdominal distention. *endoscopy is the preferred diagnostic procedure Complete Blood Count X-Ray with barium contrast

PowerPoint Presentation:

Stools may be tested for occult blood * *H. pylori infection may be determined by biopsy and histology with culture. *serologic test for antibodies to the H. pylori antigen *breath test that detects H. pylori *Pain that is relieved by ingesting food or antacids

Medical Management :

Medical Management *Medications have a major role in the treatment of Peptic Ulcer The Drugs used in the treatment are Cimetidine Ranitidine Famotidine these are Histamine receptor antagonists

Bosom pump inhibitors are more effective than H2 receptors antagonist Drugs like Omeprazole Pantaprozole Lasoprazole mucosal protective agent are sucralfate misoprostal :

Bosom pump inhibitors are more effective than H2 receptors antagonist Drugs like Omeprazole Pantaprozole Lasoprazole mucosal protective agent are sucralfate misoprostal

SURGICAL MANAGEMENT :

SURGICAL MANAGEMENT *surgery is usually recommended for pt’s who fail to heal after 12 to 16 weeks of medical treatment. *perforation. *life-threatening hemorrhage. *obstruction. *Patients who need ulcer surgery may have had a long illness.

Usually the surgical procedure performed to treat ulcer disease are Partial gastrectomy Vagotomy or Pyloroplasty EGD Esophagogastroduodenoscopy is done to stop bleeding by injecting medicine or by applying metal clips to the ulcer :

Usually the surgical procedure performed to treat ulcer disease are Partial gastrectomy Vagotomy or Pyloroplasty EGD Esophagogastroduodenoscopy is done to stop bleeding by injecting medicine or by applying metal clips to the ulcer

NURSING MANAGEMENT:

NURSING MANAGEMENT Nursing Diagnosis : Acute pain R/t increased gastric secretion Ineffective therapeutic regimen management r/t lack of knowledge of long-term management of peptic ulcer Risk for injury r/t postoperative complications like bleeding and distention

Other nursing managements are the nurse should teach the patient and the family members for self care management Medication Diet Smoking Stress Reduction :

Other nursing managements are the nurse should teach the patient and the family members for self care management Medication Diet Smoking Stress Reduction

COMPLICATION:

COMPLICATION Gastrointestinal Bleeding Perforation Penetration Obstruction

PREVENTION:

PREVENTION As peptic ulcer is cause by infection one should follow the Hygienic practice to decrease the risk of being infected Wash hands well Avoid contact with other people vomit or stool Stop Smoking Use of stress management

DIETARY MODIFICATION :

DIETARY MODIFICATION *The goal is to avoid oversecretion of acid. *Avoid alcohol , coffee. *Avoid diets rich in milk and cream. *eating three regular meals a day. . *avoid ulcerogenic medications(NSAIDs)

PowerPoint Presentation:

SUMMARY AND CONCLUSION

TEST:

TEST SECTION –I MULTIPEL CHOICE QUESTION ( 5 marks ) 01 - The common cause of Peptic Ulcer…………. a) Infection b) bacteria c) virus d) protozoan 02- Which drug is most efficacious as ulcer preventative with an NSAID a) Misoprostol b) Oneprazole c) Erythromycin d) Ranitidine

03) Complication of peptic ulcer are….. a) G I Bleeding b) abdominal pain c) Infection d) poor digestion 04) The ulcer associated with superficial erosion and minimal inflammation is … a) chronic b) acute c) severe d) None :

03) Complication of peptic ulcer are….. a) G I Bleeding b) abdominal pain c) Infection d) poor digestion 04 ) The ulcer associated with superficial erosion and minimal inflammation is … a) chronic b) acute c) severe d) None

05) Ulcer will not be developed in the absence of ………… a) Alcohol b) Acid c) Gastric Mucosa d) None :

05) Ulcer will not be developed in the absence of ………… a) Alcohol b) Acid c) Gastric Mucosa d) None

SECTION-II Answer in short ( 10 marks ):

SECTION-II Answer in short ( 10 marks ) Que-1)Define peptic ulcer ? Que-2) Explain the Classification of peptic ulcer ? Que -3) What are the signs and symptoms of PU? Que-4) Enlist the diagnostic measures of PU ? Que-05) How will you prevent PU ?

BIBILIOGRAPHY:

BIBILIOGRAPHY

THANKYOU:

THANKYOU

authorStream Live Help