Cagayan de Oro College PHINMA Education Network

College of Allied Health Sciences

Nursing Department
BSN-3 Medical Surgical Nursing Activity Sheet
2nd Semester, Periodical 1, S.Y. 2020-2021

NAMES:__________MAMBUAY, IRIS JUNE F.__________________________________________ DATE:_02/04/2021______

SECTION:__C1-01___________ C.I:_MS. PHOEBE JAENN TAN, RN_________
PEPTIC ULCER DISEASE (PUD) CONCEPT MAP

RISK FACTORS PUD

 Gender (both men & women) A disease that causes excavation that forms CLINICAL MANIFESTATIONS
 Older adults (aged 45 yrs old above) in the mucosa of the stomach
NURSING INTERVENTIONS  Hypercalcemia for ZES-
 Familial tendency (gastric/pylorus, duodenum or esophagus
 Blood type O associated MEN-I syndrome with
 Educate about self-care due to erosion of the area
measures  Stress & anxiety hyperparathyroidism
 Smoking & alcohol COMPLICATIONS  Pyrosis vomiting
 Advise patient to avoid
 Chronic use of NSAIDs ASSESS & DX  Bleeding
triggers
 H. pylori infections  Internal bleeding  Constipation (duodenal type)
 Collaborate with the
 GERD  Physical examination  Perforation  Muscular spasm
healthcare team in
 COPD  Upper endoscopy  Gastric cancer  Acute swelling of mucus
managing existing
 ZES  Histologic examination  Gastric outlet membrane
disease/disorders that
 Stress ulcers  Serologic testing obstruction
might contribute to PUD
 Curling’s and Cushing’s ulcers  Stool antigen test  Penetration
 Urea breath test S/SX
 CBCs
 Gastric secretory studies  Epigastric pain after eating
NURSING DIAGNOSES  Burning sensation in the mid-
epigastrium
 Acute pain rt the effect of gastric acid MANAGEMENT
 Diarrhea
secretion on damaged tissue MEDICAL/SURGICAL NURSING  Steatorrhea
 Imbalanced nutrition: less than body  Relief of pain after eating
MEDS
requirements rt changes in diet  Smoking cessation  Advise to adhere to maintenance therapy (duodenal type)
 Anxiety rt an acute illness  Dietary modification  Avoid smoking tobacco, coffee, other caffeinated  Hematemesis
 H2 receptor antagonists
 Deficient knowledge rt lack of  Vagotomy with or without pyroplasty beverages and consumption of alcohol  Melena
 Ranitidine
information regarding the disease
 PPIs  Antrectomy with anastomosis (Bilroth I  Avoid concomitant use of NSAIDs  Hypotension
 Risk for deficient fluid volume rt GI or Bilroth II  Educate to eat healthy and balanced diet, opt in for  Tachycardia
 Antibiotics
bleeding, nausea and vomiting
 Misoprostol  Open abdominal approach surgery or fresh fruits and adhere to dietary restrictions
laparoscopy  Relieve pain by relaxation techniques
 Monitor for complications and report immediately