1.what is the most common cause of gastritis: H. pylori
2.H. Pylori is transmitted how?: person to person
3.Patients with acute gastritis may show dehydration or an upper
bleed: GI
- A urea breathing test can be used to detect a person infected with
: H. Pylori - the diagnosis of gastritis is/is not based off clinical manifestations
alone?-
: Is not –
we want to look at the clinical manifestations and then use some sort
of diagnostic test whether it be a biopsy, urea breathing test, or upper
GI xray for a confirmed diagnoses
6.medical management for gastritis is supportive care to relieve
symptoms. The patient should rest the GI tract by going – hours NPO, then
slowly reintroducing clear liquids, then heavier liquids, and finally working
back to solid foods.: 6-12
7.Caffeine and foods should be avoided in patients with
gastri- tis: spicy –
because caffeine and spicy foods can cause irritation
8.A patient with gastritis begins vomiting after eating. What should be
or- dered for the patient?: IV fluids
9.A patient with gastritis may be placed on which medications?: PPI
H2 receptor antagonists
antacids – neutralize
acids sucralfrate
calfrate (should be avoided bc it can cause solid mass)
10.A patient with gastritis is prescribed sucralfrate which has no effects
on the gastric pH but provides a to prevent damage from
acid by binding to granulation tissues and mucosal beds.: physical barrier
11.vagotomy: surgical management of gastritis, where the vagus
nerve is sev- ered to reduce secretions of gastric acids in the
stomach
12.gastrectomy: surgical management of gastritis, removal of part or
all of the stomach
13.nursing management assessment of gastritis: •Epigastric pain
- Nausea and vomiting
- Decreased appetite
- Weight loss
Changes in color of stool
many patients with gastritis do no present with symptoms: true
15.Nursing Interventions for gastritis – assessment: assess vitals –
patients with gastritis tend to have an increased heart rate and a
decreased blood pressure
History of presenting sign and symptoms – heartburn, nausea,
vomiting Lab assessment – H. Pylori presence (foul breath and
stool)
Serum electrolytes – potassium may be low due to fluid imbalance
from vomiting, and sodium may be elevated from fluid deficit
Intake and output – pain and decreased appetite may cause less
consumption, leading to change in fluid balance and can cause
dizziness
16.Nursing intervention with gastritis – actions: administer IV fluid –
fluid re- placement needed after severe loss