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7.peptic Ulcer Disease
7.peptic Ulcer Disease
DISEASE
H.AKOUM
PEPTIC ULCER DISEASE
Peptic ulcer disease
refers to
ulcerations in the
mucosa of the
lower esophagus,
stomach, or
duodenum.
Pathophysiology and Etiology
• GI hemorrhage
• Ulcer perforation
• Gastric outlet obstruction
Nursing Assessment
• Determine location, character, radiation of pain, factors
aggravating or relieving pain, how long it lasts, when it occurs.
• Ask about eating patterns, regularity, types of food, eating
circumstances.
• Ask about medications (especially aspirin, anti-inflammatory drugs,
or steroids).
• History of illnesses including previous GI bleeds.
• Obtain psychosocial history.
• Perform physical assessment with documentation of positive
abdominal findings.
• Take vital signs, including lying, standing, and sitting BPs and
pulses, to determine if orthostasis is present due to bleeding.
Nursing Diagnoses