TABLE OF CONTENTS
PREFACE
CHAPTER ONE
INTRODUCTION
1.2 Objectives
CHAPTER TWO
LITERATURE REVIEW
2.1 Introduction
2.2 History of perforation of a duodenal ulcer
2.3 Pathogenesis and epidemiology
2.4 Diagnosis
2.5 Risk Stratification
2.6 Treatment
2.6.1 Non-operative treatment
2.6.2 Surgical treatment
2.6.2.1 Laparoscopic Surgery
2.6.2.2 Immediate Definitive Surgery
2.6.2.3 Conservative Surgery
2.7 Therapy for H. pylori
CHAPTER THREE
NURSING MANAGEMENT OF PEPTIC ULCER
3.1 Nursing Assessment
3.2 Nursing Diagnosis
3.3 Nursing Care Planning & Goals
3.4 Nursing Interventions
3.4.1 Relieving Pain and Improving Nutrition
3.4.2 Reducing Anxiety
3.4.3 Monitoring and Managing Complications
3.4.4 Home Management and Teaching Self-Care
3.5 Evaluation
3.6 Discharge and Home Care Guidelines
3.7 Documentation Guidelines
CHAPTER FOUR
PHARMACOLOGICAL REVIEW OF SOME DRUGS USED ON “MR J”
4.1 Introduction
4.2 Antibiotics
4.3 Proton Pump Inhibitors (PPIs)
4.4 Histamine-2 receptor antagonists
4.5 Antacids4.5 Cytoprotective agents
4.6 Common Side Effects and Precautions of peptic ulcer healing drugs
REFERENCES
PREFACE
The client’s care study is written in four chaptersChapter one is the introduction. It looks at the condition of patient.
Chapter two looks at the literature review : anatomy and physiology of the stomach. Definition, causes, pathophysiology, signs and symptom, assessment and diagnostic findings, medical management, nursing management, complications and prognosis.
Chapter three looks at the nursing assessment, pre-post operative nursing diagnosis, pre and post operative nursing care plan, progress report, discharge summary and advice on discharge.
Chapter four looks at the pharmacological review of some of the drugs used on Mr.J.
CHAPTER ONE
INTRODUCTION
Mr “J” male 39yrs old, hails from Agbudu Awgu of Imo State, last in the family of 4 (four) children two girls and 2 boys father is a civil servant while the mother is a trader. This patient was transferred from accident and emergency to ward 4 (CUT) on 29th August, 2009 and was booked for emergency exploratory laparatomy due to perforated duodenal ulcer under Dr Nwajiobi and his team. There was no history of epilepsy but takes up to 5-7 bottles of Alcohol drink (preferably beer) and 5-6 sticks of cigarette daily. Nil history of allergy.
Vital signs on admission read;
P 102 b/m
T 360C
R 32 c/m
Bp 90/50mmt tg
The patient drinking habit has lasted for 10 (ten) good years now I developed interest in the patient because of his
condition.This will help me to study in details the causes, palhophysiology as well as the management of peptic ulcer and apply in nursing practice. I used the letter “J” to represent my patient’s name
so as to maintain the confidentially of the information given by the patient.
1.2 Objectives
The objective of this
study is to study a patient with perforated duodenal ulcer which is also known as peptic ulcer. It will examine how care can be properly given to the patient name “Mr J” and the some of the drugs used on the patient.