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

Peritonitis

Treatment for Diverticulitis

Rovsing's Sign

Location of pain in Diverticulitis

Dyspepsia

Jaundice

Avoid seeds and nuts

Symptom of an intestinal perforation in diverticulitis

Diet for Diverticulosis (no inflammation)

Diet for Diverticulitis (during inflammation)

Symptoms of Cholecystitis

RLQ pain with palpation of LLQ

Cholecystitis

Indigestion

Low Fiber

Right Lower Quadrant

Dyspepsia and Upper abdominal pain that radiates to right shoulder

NPO, bowel rest and antibiotics

Absent Bowel Sounds

Diverticulitis

High Fiber Diet (oatmeal=high fiber)

Fever, chills, tachycardia, pallor, severe abdominal pain