gastritis nursing care

1. GIT Medical Nursing
by :
Dr. Alshazaly abdoalghfar
BSN, RN, MSN, CNE PhD.

2. Gastritis and peptic
ulcer disease
Lecture 5
10/29/2023 shazalyhran@yahoo.com 2

4. Objectives
By the end of this lecture all of us well be able to
 Formulate the nursing process as a framework for care of
patients with gastritis and peptic ulcer disease.

5. Nursing process:
Nursing Assessment:
Assessment:
 Does the patient complains of heartburn, can not eat, nausea and vomiting?
 When the occurrence of symptoms, whether before eating, after eating, after
ingesting spicy foods, certain drugs or alcohol?
 What are the symptoms associated with anxiety, Stress, allergies, eating and
drinking too much or eating too fast?
 What are the symptoms diminish or disappear?
 Is there a history of previous gastric disease?
 Does the patient have vomiting blood?
 Is there any abdominal tenderness?
 Dehydration or change in skin turgor or dry mucous membranes?

6. ND 1:
 pain related to the effect of gastric acid secretion on damaged
tissue.
Goal:
 Relive pain.
Intervention:
 Review the level of pain.
 Encourage clients to learn relaxation techniques.
 Encourage clients to use diet as regular intervals.
 Encourage clients to avoid eating foods that stimulate an increase in
stomach acid.
 Collaboration with the medical team for the administration of anti-
analgesic.

7. ND 2:
 Imbalanced nutrition, less than body requirements, related to
inadequate intake of nutrients.
Goal:
 Maintain adequate nutrition.
Intervention
 Describe the client and family about the importance of food for
the body.
 Monitor the amount of food intake.
 Monitor and record the number of vomiting, frequency and color

8. Cont…
 Provide a varied diet according to his diet to stimulate appetite.
 Provide food in small portions but frequently.
 Collaboration with the medical team for the administration of anti-
emetic drugs.

9. ND 3:
 Risk for fluid volume deficit related to insufficient fluid intake and
excessive fluid loss subsequent to vomiting
Goal:
 Maintain fluid volume balance.
Intervention
 Assess the possibility of signs of dehydration and record intake and
output.
 Assess the balance of fluids and electrolytes every 24 hours.
 Encourage clients to keep the peroral intake is to eat and drink a
little but often.
 Encourage clients to avoid consuming foods and beverages that
contain caffeine.

10. ND 4:
 Deficient knowledge about prevention of symptoms and
management of the condition
Goal:
 Increase knowledge.
Intervention
 Explain to clients that can change diet after recovery.
 Explain to the client about medical procedures / treatments will be
done.
 Provide motivation to the client about his recovery

11. ND 5:
 Anxiety related to coping with disease.
Goal:
 Reduce anxiety.
Intervention
 Assess what patient wants to know about the disease,
and evaluate level of anxiety.
 encourage patient to express fears openly and without
criticism.
 Explain diagnostic tests and administering medications
on schedule.

12. Cont…
 Interact in a relaxing manner, help in identifying
stressors, and explain effective coping techniques and
relaxation methods.
 Encourage family to participate in care, and give emotional
support.

13. ND 6:
 Risk for bleeding related to ulceration and erosion into blood
vessels
Goal:
 Prevent bleeding.
Intervention:
 Monitor vital signs and oxygen saturation frequently .
 Assess pt for sign of bleeding and check stool and vomiting.
 Monitoring the hemoglobin and hematocrit.
 Monitor intake and output.
 I.V fluid and blood replacement.
 Endoscopic management may be require.

14. ND 7:
 Risk for Activity intolerance related to bleeding
Goal:
 Mantain activity of daily level.
Intervention:
 Monitor vital signs and oxygen saturation befor and after
activity.
 Maintain adequate rest.
 Management of bleeding to decrease losses.
 IV fluid and blood replacement to maintain fluid loss

15. ND 8:
 Risk for fluid and electrolyte imbalance related to vomiting
secondary of obstruction.
Goal:
 Maintain fluid and electrolyte .
Intervention:
 Check intake and output chart.
 Check serum electrolytes.
 IV fluid and electrolyte replacement.
 Avoid stress to decrease secretion of gastric acid and
decrease vomiting.
 Prepare pt for endoscopy or surgery

16. ND 9:
 Risk for infection or perotinitis related to perforation of ulcer.
Goal:
 Prevent infection.
Intervention:
 NG tube insertion to suction gastric contains.
 Monitor vital signs to assess sign of infection.
 Antibiotic administration.
 Prepare pt for surgical intervention to repair perforation.

17. ND 10:
 Risk for perforation related to erosion of ulcer.
Goal:
 Prevent infection.
Intervention:
 Reduce stress and any things that increase gastric secretion.
Nasogastric suction.
 Administration of H2-blockers and proton-pomp inhibitors.
 Antibiotic administration.
 Prepare pt for surgery

18. ND 11:
 Risk for pyloric obstruction related to scar of ulcer and tissue
spasm
Goal:
 Prevent the obstruction.
Intervention:
 gastric decompression.
 IV fluid , and correction of electrolyte imbalances.
 Some patients may require total parenteral nutrition (TPN) or
distal tube feeding .
 Prepare pt for surgery

19. Thank you
8/26/2022 shazalyhran@yahoo.com 19