DUODENAL ULCER

 

The duodenal ulcer is a break or an erosion of the duodenal mucosa which generally results in gastrointestinal bleeding and pain. Treatment may be medical or surgical.

 

NURSING INTERVENTIONS:

 

      Give psychological support to the patient and his/her family.

      Teach and provide the patient with the adequate diet, including milk.

      Administer medications prescribed by the doctor on time.

      Monitor vital signs of the patient: Blood pressure, temperature, pulse, and respirations.

      Pipe a vein and hydrate the patient as ordered.

      Start an IV infusion.

      Observe the possible signs and symptoms such as: abdominal pain, nauseas, vomits, abdominal bleeding, melena, and others and write them down on the patient's chart.

      Provide enviromental hygiene.

      Administer the correct diet with poor fat and rich in carbohydrates and vitamins.

      Teach the patient to avoid alcohol ingestion.

      Obtain history of use/abuse of substances known to predispone duodenal ulcer such as aspirin, aspirin-containing drugs, steroids, alcohol.

      Obtain diet history.

      Give sanitary education to the patient and his/her family in relation with his/her disease and adequate management.

      Try to calm the patient to avoid stress(It is a risk factor of duodenal ulcer).

      If the patient is alcoholic refer him/her to alcohol rehabilitation if indicated.