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This article looks at . Spontaneous Gastric Perforation. Intractable ulcer. muscle spasms, gastric mucosal irritation, presence of invasive lines: verbalization of pain, facial grimacing, changes in vital signs, guarding: . Includes: appendectomy, gastroenteritis, inflammatory bowel disease, live cirrhosis, and more. Administer antiemetics or antipyretics as indicated. The most common site for peptic ulcer formation is the: A. Duodenum. C. Pylorus. In some cases, there may be a pain-free period followed by worsening pain due to decompression just after perforation. Management of this disorder includes temporary cessation of diet and intravenous nutrient supplementation. 3. 3. Maintain accurate input and output measurements and correlate it with the patients daily weights. Gastric Cancer Nursing Care Plan & Management - RNpedia Instruct patient about particular foods that will upset thegastric mucosa, such as coffee, tea, colas, and alcohol,which have acid-producing potential. St. Louis, MO: Elsevier. This reduces guarding and muscle tension, which might reduce movement-related pain. Eliminate unpleasant environmental stimuli. Nursing Diagnosis: Dysfunctional Gastrointestinal Motility related to gastroesophageal reflux disease as evidenced by nausea and vomiting, abdominal cramping, and regurgitation. Bowel Perforation - StatPearls - NCBI Bookshelf Interprofessional patient problems focus familiarizes you with how to speak to patients. 5. Food is commonly regurgitated as it does not pass to the stomach, leading to chest pain, heartburn, nausea, and vomiting. [Updated 2022 Aug 14]. Helicobacter pylori is considered to be the major cause of ulcer formation. The patient should be kept NPO and may require nasogastric decompression. C. eating meals when desired. Patients with this condition are instructed to maintain a low-fat diet and avoid caffeine, alcohol, nicotine, and dairy products. These drugs coat the intestinal wall and absorb bacterial toxins. Buy on Amazon, Silvestri, L. A. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. The nurse can ask and observe for coping mechanisms that the patient uses. Irregular mealtimes may cause constipation. Assess the patient for intake of contaminated food or water or undercooked or raw meals. C. 40 and 60 years. Additionally, patients may also experience signs of sepsis, such as confusion, dizziness, and low blood pressure. Keep all abdominal drains, incisions, open wounds, dressings, and invasive sites sterile at all times. 2. Assess what patient wants to know about the disease, andevaluate level of anxiety; encourage patient to expressfears openly and without criticism. Measure the patients urine specific gravity. Nursing Care Plans Nursing Diagnosis & Intervention (10th Edition)Includes over two hundred care plans that reflect the most recent evidence-based guidelines. Complications of bowel perforation may include: Diagnostic tests for bowel perforation should usually include: Treatment for bowel perforation should usually include the following: Nursing Diagnosis: Risk for Infection related to inadequate primary defenses invasive procedures, and immunosuppression secondary to bowel perforation. This exposes the structures within the peritoneal cavity to gastrointestinal contents. NurseTogether.com does not provide medical advice, diagnosis, or treatment. Buy on Amazon, Silvestri, L. A. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders.