Describe the key features of Acute Gastritis
Rapid onset of epigastric pain, n/v, hematemesis, gastric hemorrhage, dyspepsia, & anorexia
Describe the key features of Chronic Gastritis
Vague report of epigastric pain relieved by food, anorexia, n/v, intolerance of fatty and spicy foods, & pernicious anemia
What are the key components of Gastric Prevention?
well balanced diet, avoid excessive alcohol, avoid large doses of aspirin, NSAIDS, corticosteroids, and caffeine, manage stress levels, & no smoking
What are the common signs of an Upper GI Bleed?
Bright red or coffee ground vomitus, tarry stools, melena (occult blood), decreased blood pressure, increased weak and thready pulse, decreased H & H, vertigo, dizzy, & syncope
Common drug therapy for Peptic Ulcer Disease
Antacids, H2 Antagonists, Mucosal Barrier Fortifiers, Proton Pump Inhibitors, Prostaglandin Analogs, & Antimicrobials
What are the three main types of ulcers that can occur?
Gastric ulcers, duodenal ulcers, & stress ulcers
Home care assessment of a patient with Ulcer Disease
Gastrointestinal, cardiovascular, & nutritional status, medication history, patient's coping skills, & understanding of illness
What is the main difference between ZES and PUD?
Presence of H. pylori infection is typically absent in ZES.
What is a major risk factor for gastric cancer?
Infection with H. pylori
What is a primary prevention of gastric cancer?
Avoiding pickled, salted, and processed foods & eating a well-balanced diet.