Pathophysiology Pud

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz PATHOPHYSIOLOGY

BOOK BASE PATHOPYSIOLOGY

Damage to mucosal wall alcohol abuse, smoking, use of NSAID’s

Acid and pepsinogen release with chronic vagal response to increased stress

Damage mucosal barrier

Imbalance of aggressive and defensive factor

Low of mucosal cells; low quality of mucous; less of tight junction between cells

Infection gives increased gastrin and decrease somatostatin production

Infection with Helicobacter Pylori

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

Erosive gastritis inflammation >> decrease acid and intrinsic factor

Mucosal ulceration, possible bleeding and scaring

Damage mucosa could not secrete enough mucus to act

Severe Ulceration Signs and Symptoms: Epigastric pain Hematemesis/Melena Dyspepsia Pyrosis

GORDONCILLO, LEAH A. CI: Sir Lourdevick Poquiz BSN 4D Area: 3B PATIENT BASE PATHOPHYSIOLOGY

MODIFIABLE: Use of NSAID’s and response to increased stress

Acid and Pepsinogen release

Damage mucosal wall

Imbalance of aggressive and defensive factor

Low of mucosal cells; low quality of mucous; less of tight junction between cells

Infection gives increased gastrin and decreased somatostatin production

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

Erosive gastritis inflammation >> decreased acid and intrinsic factor

Mucosal ulceration, possible bleeding and scaring

A damaged mucosa could not secrete enough mucus to act as a barrier against gastric acid

SEVERE ULCERATION Signs and Symptoms: Epigastric pain Melena Dyspepsia Pyrosis

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

PATHOPHYSIOLOGY Predisposing Factors Factors •

Age (40-60) >NSAIDs

•

Gender Gastric Hyperacidity

Precipitating

> > Stress

Familial tendency

•

Foods

> Irritating

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

GORDONCILLO, LEAH A. BSN 4D Area: 3B

CI: Sir Lourdevick Poquiz

SCHEDULE OF ACTIVTIES 2:45 – 3:00 pm

Checking of Attendance and Paraphernalia an d Assigning of patients

3:00 – 3:30 pm

Endorsement and Rounds

3:30 – 4:00 pm

Browsing of the Chart, Preparation of medicat ions and starting the Nursing care

4:00 – 5:00 pm

Vital Signs monitoring, Giving of medications Plotting the V/S in the TPR

5:00 – 6:00 pm

Nursing Care

6:00 – 6:30 pm

Feeding the patient

6:30 - 7:30 pm

Break time

7:30 – 8:30 pm

Vital Signs monitoring, Giving of Medications, Finalization of Nursing care

8:30 – 9:30 pm

I and O monitoring, Accomplishing the TPR sh eet and the chart

9:30 – 10:00 pm

Rechecking of the Nursing Care Plan and the Chart by our clinical instructor

10:00 – 10:30 pm

Endorsement

10:30 – 11:00 pm

Post conference followed by dismissal 