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Peptic Ulcer Disease - Coggle Diagram
Peptic Ulcer Disease
Duodenal Ulcer
Located in the first 1-2cm of the duodenum
No increased risk for cancer
90% from H. Pylori Infection
Clinical Manifestations
Burning, cramping pain
Pain across epigastrium and back pain
Pain 2-5 hours after eating
Pain relieved by food and antacids
Nursing Management
Cessation of smoking and alcohol
Stress management techniques
Medications
Antibiotics for H. Pylori: 14 days with PPI. Metronidazole instead of amox if PCN allergy
PPIs: more effective than H2 blockers at reducing gastric acid secretion
H2 blockers
Cytoprotective Drugs: Sucralfate for mucosal protection
Antacids
Nutrition
Avoid pepper, carbonated beverages, broth, hot, spicy foods, alcohol and caffeine
Causes of ulcers
H. Pylori
80% gastric; 90% duodenal; fecal-oral or oral-oral transmission
Medications
NSAIDS
Corticosteroids
Lifestyle
Alcohol
Smoking
Coffee
Stress
Gastric Ulcer
Located in the stomach
Gastric secretion is normal to decreased
Increased cancer risk
80% from H. Pylori infection
Clinical Manifestations
Burning
Pain 1-2 hours after eating
Pain aggravated by food
Definition: Erosion of the GI Tract
Acute: Short duration; Minimal erosion; Resolves quickly
Chronic: Long duration, intermittent or continuous. Erodes through the muscular wall