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)

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

Match the question with the answer

Symptom of an intestinal perforation in diverticulitis

Dyspepsia

Treatment for Diverticulitis

Diet for Diverticulitis (during inflammation)

Peritonitis

Location of pain in Diverticulitis

Avoid seeds and nuts

Jaundice

Symptoms of Cholecystitis

Diet for Diverticulosis (no inflammation)

Rovsing's Sign

Right Lower Quadrant

Low Fiber

Dyspepsia and Upper abdominal pain that radiates to right shoulder

High Fiber Diet (oatmeal=high fiber)

Cholecystitis

RLQ pain with palpation of LLQ

NPO, bowel rest and antibiotics

Fever, chills, tachycardia, pallor, severe abdominal pain

Diverticulitis

Absent Bowel Sounds

Indigestion