Peptic Ulcers

Gastric versus duodenal ulcers

Pain NOT relieved by food. Pain occurs 30 minutes after eating. Food causes nausea and vomitng. This is a malnourished client.

Food relieves pain. Pain occurs 2-4 hours after meals or at bedtime

Proton pump inhibitors (Pantoprazole)
H2 blockers (famotidine/Ranitidine)
Bismuth (Pepto-bismol) & Antacids
Carafate (Sucralfate)=creates barrier for ulcer to heal
Diet: Avoid spicy, acidic, & fried foods
No alcohol, no caffeine
3 Drug Treatment of Peptic ulcer H. Pylori= Omeprazole (prilosec), Amoxicillin, and clarithromycin (biaxin)

These are Flipping Cards

[flipping-card id=1]

This matching exercise has been taken from long NCLEX questions from a popular source.

Match the question with the answer

Dyspepsia

Diet for Diverticulosis (no inflammation)

Peritonitis

Symptoms of Cholecystitis

Symptom of an intestinal perforation in diverticulitis

Avoid seeds and nuts

Treatment for Diverticulitis

Jaundice

Rovsing's Sign

Diet for Diverticulitis (during inflammation)

Location of pain in Diverticulitis

Right Lower Quadrant

High Fiber Diet (oatmeal=high fiber)

NPO, bowel rest and antibiotics

Low Fiber

Cholecystitis

Diverticulitis

Absent Bowel Sounds

RLQ pain with palpation of LLQ

Indigestion

Dyspepsia and Upper abdominal pain that radiates to right shoulder

Fever, chills, tachycardia, pallor, severe abdominal pain