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ADESHWAR NURSING
INSTITUTE JAGDALPUR
MEDICAL SURGICAL NURSING
CLASS TEACHING
PRESENTED BY: -
Miss. Priya Vishwakarma
M. Sc Nursing First Year
This Photo by Unknown Author is licensed under CC BY-SA
NORMAL STRUCTURE OF
STOMACH
INTRODUCTION
• Stomach ulcers, also known as gastric ulcers, are open
sores that develop on the lining of the stomach.
• Ulcers can also occur in part of the intestine just beyond
the stomach (duodenum).
• Stomach ulcers can affect people of any age, including
children, but mostly occur in people aged 60 or over.
• Men are more commonly affected than women.
CLASSIFICATION
PEPTIC
ULCER
GASTRIC
ULCER
CLASSIFICATION
ETIOLOGY
ETIOLOGY
ETIOLOGY
ETIOLOGY
CLINICAL MANIFESTATIONS
CLINICAL MANIFESTATIONS
CLINICAL MANIFESTATIONS
ASSESSMENT AND DIAGNOSTIC
FINDINGS
ASSESSMENT AND DIAGNOSTIC
FINDINGS
ASSESSMENT AND DIAGNOSTIC
FINDINGS
MEDICAL MANAGEMENT
PHARMACOLOGICAL THERAPY
(TRIPLE THERAPY)
ANTIBIOTICS (Amoxicillin, Clarithromycin) +
PROTON PUMP INHIBITORS (Omeprazole,
Lansoprazole) + BISMUTH SALICYLATES
TRIPLE THERAPY
Clarithr
omycin
500mg
Omepra
zole
20mg
Amoxici
llin
1000 mg
10
days
AMOXICILLIN
MECHANISM OF ACTION
Inhibition of cell wall synthesis
Death of bacteria
SIDE EFFECTS
• Diarrhea
• Headache
• Taste perversion
OMEPRAZOLE
MECHANISM OF ACTION
Blocks H/K/ATPase of parietal
cells
Inhibit secretion of gastric acid
SIDE EFFECTS
• Diarrhea
• Headache
• Nausea and vomiting
BISMUTH SALICYLATES
MECHANISM OF ACTION
Inhibition of prostaglandin
synthase
Inflammation of stomach &
intestinal lining
SIDE EFFECTS
• Abdominal pain
• Anal discomfort
• Black/ hairy tongue
• Tarry/ clay colored stool
MEDICAL MANAGEMENT
STRESS REDUCTION AND REST
MEDICAL MANAGEMENT
SMOKING CESSATION
MEDICAL MANAGEMENT
DIETARY MODIFICATION
DIETARY MODIFICATION
SURGICAL MANAGEMENT
PYLOROPLASTY
VAGOTOMY
BILLROTH PROCEDURE
SUMMARY
ANSWER THE QUESTIONS
Q. What is best used for detecting small or healing
ulcers?
a) Endoscopy
b) Barium radiography
c) Urea breath test
d) Abdominal CT.
Q. Complications of PUD include bleeding,
perforation, and penetration. Bleeding typically
manifests as_________
a)Melena
b)Clots
c)Coffee ground
d)Loose runny stools
Q. What often describes the pain of PUD?
a) Sharp, knife-like, radiates to right shoulder
b) Dull,achy, localized to stomach
c) Diffuse, joint arthritis
d) Burning, gnawing, radiates to the back
This Photo by Unknown Author is licensed under CC BY-NC

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Peptic ulcer