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.