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PUD Chart Template

Peptic Ulcer Disease (PUD) is characterized by mucosal erosion in the stomach or duodenum due to an imbalance between protective factors and aggressive agents, potentially leading to serious complications if untreated. Key management strategies include avoiding NSAIDs, quitting smoking, and treating H. pylori infection, alongside monitoring for symptoms and complications. Treatment may involve medications, lifestyle changes, and in severe cases, surgical interventions.

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jpsh1986
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75 views3 pages

PUD Chart Template

Peptic Ulcer Disease (PUD) is characterized by mucosal erosion in the stomach or duodenum due to an imbalance between protective factors and aggressive agents, potentially leading to serious complications if untreated. Key management strategies include avoiding NSAIDs, quitting smoking, and treating H. pylori infection, alongside monitoring for symptoms and complications. Treatment may involve medications, lifestyle changes, and in severe cases, surgical interventions.

Uploaded by

jpsh1986
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ACTIVE LEARNING TEMPLATE: SYSTEM DISORDER

STUDENT NAME:

DISORDER/DISEASE PROCESS:

Peptic Ulcer Disease (PUD)

REVIEW MODULE CHAPTER:

Gastrointestinal System

Pathophysiology Related to Client Problem:

Peptic Ulcer Disease involves mucosal erosion in the stomach or duodenum due to an imbalance between

protective factors (mucus, bicarbonate, prostaglandins) and aggressive agents (acid, pepsin, H. pylori,

NSAIDs). This can lead to bleeding, perforation, or obstruction if left untreated.

Health Promotion and Disease Prevention:

- Avoid chronic NSAID use unless prescribed

- Quit smoking and limit alcohol

- Manage stress effectively

- Maintain balanced diet and avoid irritating foods

- Test and treat H. pylori when indicated

Risk Factors:

- H. pylori infection

- Long-term NSAID use

- Smoking, alcohol use

- Stress, severe illness

- Zollinger-Ellison syndrome

Expected Findings:

- Burning epigastric pain

- Pain relief with food (duodenal) or worsens after eating (gastric)

- Nausea, bloating

- Hematemesis, melena

Laboratory Tests:

- CBC (check for anemia)


ACTIVE LEARNING TEMPLATE: SYSTEM DISORDER

- H. pylori testing (breath, stool, or serology)

- Stool guaiac test for occult blood

Diagnostic Procedures:

- Upper GI endoscopy (EGD) with biopsy

- Barium swallow if endoscopy is unavailable

Nursing Care:

- Monitor for GI bleeding and perforation

- Administer medications as prescribed

- Encourage lifestyle and dietary changes

- Assess for medication side effects

- Educate on adherence to treatment plan

Therapeutic Procedures:

- Endoscopic hemostasis (cauterization or clipping)

- Surgical intervention (vagotomy, pyloroplasty) for severe or recurrent ulcers

Medications:

1. Omeprazole (Prilosec) - Proton Pump Inhibitor

2. Ranitidine (Zantac) - H2 Receptor Blocker

3. Sucralfate (Carafate) - Mucosal Protectant

4. Amoxicillin (Amoxil) - Antibiotic (H. pylori)

5. Clarithromycin (Biaxin) - Antibiotic (H. pylori)

Client Education:

- Take medications as directed

- Avoid NSAIDs and known triggers

- Quit smoking, reduce stress

- Report signs of bleeding (black stools, vomiting blood)

Interprofessional Care:

- Gastroenterologist: diagnosis and endoscopy

- Dietitian: meal planning

- Pharmacist: medication education and adherence


ACTIVE LEARNING TEMPLATE: SYSTEM DISORDER

- Nurse: education and monitoring

Alterations in Health:

Mucosal ulceration due to acid-pepsin imbalance

Safety Considerations:

- Monitor for hypotension, tachycardia, dizziness (bleeding)

- Ensure proper follow-up after procedures

- Reinforce medication adherence

Complications:

- GI bleeding

- Perforation and peritonitis

- Gastric outlet obstruction

- Risk of malignancy with chronic H. pylori infection

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