NCLEX Review & Nursing School

GASTRIC ULCER

Ulcer in the gastric mucosa.
Usually occurs in people over 50.

ASSESSMENT

– mid-epigastric pain
– occurs 30 mins- 1hr. after eating.
– pain increase w/ consumption of food.
– patient is prone to vomiting.

Vomiting, is very common in gastric ulcers, and provides relief of the pain.

DIAGNOSTICS
Endoscopy exam
bariul swallow
Barium Enema
Sigmoidoscopy
Colonoscopy
Stool Specimen (positive for blood)

TREATMENT INCLUDES:

• ANTACIDS
• ANTIBIOTICS
• HISTAMINE OR H2 BLOCKERS,
• ANTICHOLINERGICS,
• ANTISPASMODICS
• PROTON PUMP INHIBITORS.
• SURGERY

A complication of Surgery:
DUMPING SYNDROME

Dumping Syndrome: usually post gastrectomy,
Caused by rapid emptying of food into the jejunum.

SYMPTOMS:
dizziness
pallor
nausea and vomiting.

TREATMENTS:
decreased in fluids with meals
decrease in carbohydrate intake
small frequent meals

MEDICATIONS
sedatives and antispasmodics such as bentyl and pro-banthine