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Peptic Ulcer - ulceration in the mucosa of the lower oesophagus, stomach,…

- - - - C-urea breath test
      - serum ELISA
      - pyloritek
  - - - fluoroscopic & x-ray examination : barium swallow
      - indication
      - nursing care
        
        low residue diet 2-3 days prior to the test
        
        NPO for 8 hrs
        
        withhold medication for 8 Hours unless otherwise indicated
        
        bring V-ray films
- - - - aspirin
      - NSAIDs
      - steroids
- - - - side effect: GI disturbances -
        constipation, diarrhoea, rebound hyperacidity
      - indication : short term relief of heartburn
      - therapeutic actions: neutralize gastric acids, increase stomach PH
  - - - therapeutic actions: inhibits stimulation of gastric parietal cells at H2 receptor sites, decrease gastric acid secretion, promote healing of acid-sensitive ulcer
      - indication: S/S unresponsive to antacid
      - side effect:
        
        CNS: confusion;
        
        GI: nausea, diarrhea, abdominal pain
  - - - therapeutic actions: reduce gastric secretion
      - indication: severe erosive GERD, not responsive to H2RA
      - side effect: overproduction of gastrin
        CNS: headache, dizziness, fatigue
        GI: nausea, diarrhea, abdominal pain