Image result for gastritis Gastritis is a general term for a group of conditions with one thing in common: inflammation of the lining of the stomach. The inflammation of gastritis is most often the result of infection with the same bacterium that causes most stomach ulcers.

1. MR.JAGDISH SAMBAD
M.Sc.Nursing-MSN
Assi.Professor
Balaji College of Nursing
GASTRITIS

2. GASTRITIS
GASTRITIS CAN BE
DEFINED AS
INFLAMMATION OF
GASTRIC MUCOSA

3. GASTRITIS : TYPES
• ACUTE GASTRITIS
• CHRONIC GASTRITIS

4. ANATOMY OF STOMACH

5. PHYSIOLOGY OF STOMACH

6. GASTRITIS: CHANGES

7. GASTRITIS : INCIDENCE
High risk
between 50- 60
yrs of life
More common
in men
More in heavy
drinkers and
smokers

8. INCIDENCE- CHRONIC
GASTRITIS A
 Common in people
having faulty secretion
of intrinsic factor of
Castle
 Commonly affects
fundus
 Usually
asymptomatic in
early stages
 AUTOIMMUNE

9. INCIDENCE: CHRONIC
GASTRITIS B
 Affects antrum
and pylorus
 Associated with
H. Pylori
infection

10. ACUTE GASTRITIS: RISK
FACTORS
 Ingestion of
corrosive/ erosive
substance
 Irritating food / very
spicy food
 Excessive alcohol/
smoking

11. ACUTE GASTRITIS: RISK
FACTORS
 Ingestion of NSAIDS
(Aspirin)
 Bile reflux disorder
 NG Suctioning
 Radiation/ endoscopy

12. ACUTE GASTRITIS: RISK
FACTORS
In severe cases,
gastric mucosa
becomes
gangrenous of
perforated

13. CHRONIC GASTRITIS: RISK
FACTORS
 Malignancies
 Autoimmune
disorders
 Pernicious anemia
 Post gastrotomy
occrance

14. SPECIFIC FORMS OF
GASTRITIS
 Infection of CMV
 Tuberculosis
 Crohn’s disease
 Systemic disease
like sarcoidosis
 Ideopathic

15. ACUTE GASTRITIS:
SYMPTOMS
 Abdominal pain
 Tenderness
 Dyspepsia
 Anorexia
 Nausea

16. ACUTE GASTRITIS:
SYMPTOMS
 Headache
 Lassitude
 Hiccupping
 Sometimes
asymptomatic

17. CHRONIC GASTRITIS:
SYMPTOMS
 Anorexia
 Heart burn
 Belching
 Sour taste
 Nausea

18. GASTRITIS: SIGNS
 VOMITING
 MALENA
 HEMATEMASIS
 HALITOSIS

19. GASTRITIS: INVESTIGATIONS
 Done for
symptomatic cases
only
 ACTIVE CASES:
 Culture & sensitivity
 1 min. ultra rapid
urease test
 Breath test

20. INVESTIGATIONS: CHRONIC
CASES
 Endoscopy
 Upper GI
Radiography
 Histologic
Assessment
 Serologic Antibody
Test

21. INVESTIGATIONS: CHRONIC
CASES
 Achlorhydrea
 Hypochlorhydrea
 Hyperchlorhydrea

22. ADJUVANT TESTS
 Only if client has
severe vomiting
episodes
 Serum electrolytes
 Hb, TLC, DLC

23. MEDICAL MANAGEMENT:
GASTRITIS
 No special drug
needed in patient
having reasonable
immunity
 Acute cases last for
1- 2 days
 Appetite returns in
2- 3 days

24. MEDICAL MANAGEMENT:
GASTRITIS
 Insure client has:
proper rest
Bland diet
Refrain from
smoking and alcohol
IV Fluids if needed

25. DIETERY MANAGEMENT:
GASTRITIS
 Specific bland diet
for gastritis
B : banana
R : rice
A : apple sauce
T : tea (Very light
and sweet)

26. EMERGENCY MANAGEMENT
 In case of ingestion
of harmful
substance.
 Neutralizing and
diluting the
substance with
antidote
 Gastric lavage

27. PHARMACOLOGICAL
MANAGEMENT
 ANTIBIOTICS:
 TETRACYCLIN
 AMOXYCILLIN
 METRONIDAZOLE

28. PHARMACOLOGICAL
MANAGEMENT
 HISTAMINES
 CIMITIDIN
 RANITIDIN

29. PHARMACOLOGICAL
MANAGEMENT
 PROTON PUMP
INHIBITORS:
 OMEPRAZOLE

30. SURGICAL MANAGEMENT
 Not needed for acute
gastritis
 Rarely used in
chronic recurrent
gastritis
 Cardiac sphinctor
stenosis
 Reconstruction of
perforation

31. NURSING MANAGEMENT