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Pages:
1 page/β‰ˆ275 words
Sources:
4 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 4.86
Topic:

Peptic Ulcers Disease (PUD)

Essay Instructions:

Scenario 1: Peptic Ulcer
A 65-year-old female comes to the clinic with a complaint of abdominal pain in the epigastric area. The pain has been persistent for two weeks. The pain described as burning, non-radiating and worse after meals. Denies N&V, weight loss or obvious bleeding. She admits to frequent belching with bloating.
PMH: seasonal allergies with Chronic Sinusitis, positive for osteoarthritis,
Meds: Claritin 10 mg po daily, ibuprofen 400-600 mg po prn pain
Family Hx-non contributary
Social history: Separated recently pending divorce; stressful situation with trying to manage two homes. Works as a Legal Assistant at a local law firm. She has 35 PPY of smoking, drinks 1-2 glasses of wine a day, and 6-7 cups of coffee per day. She denies illicit drug use, vaping or unprotected sexual encounters.
Breath test in the office revealed + urease.
The healthcare provider suspects the client has peptic ulcer disease.
Question:
1. What is the pathophysiology of PUD/ formation of peptic ulcers?
References should be 4 to 5

Essay Sample Content Preview:

Scenario 1 Peptic Ulcer -Concepts of Gastrointestinal and Hepatobiliary Disorders
Name
NURS 6501
Instructor
Due Date
Scenario 1 Peptic Ulcer Concepts of Gastrointestinal and Hepatobiliary Disorders
1 Explain what contributed to the development of this patient’s history of PUD?
Peptic Ulcers Disease (PUD) occurs because of ulceration of the mucosa of the upper gastrointestinal tract resulting from corrosion by pepsin and hydrochloric acid. The main risk factors of Peptic Ulcers Disease are infection with Helicobacter pylori and the nonsteroidal anti-inflammatory drug (NSAID) medications (Kavitt et al., 2019). Infections affecting the stomach lining and prolonged chronic inflammation affect PUD and worsen symptoms (McCance & Huether, 2019). The patient is taking ibuprofen 400-600 mg po prn pain and ibuprofen, a type of nonsteroidal anti-inflammatory drug (NSAID). The NSAIDs increase the risk of PUD ulcers by disrupting the stomach’s and duodenum’s ability to offer protection from stomach acid. Additionally, NSAIDs can interfere with blood clotting, which is helpful when ulcers bleed.
There are different factors associated with the development of PUD for the patients. She is 65 years old. She smokes, drinks 1-2 glasses of wine daily, has seasonal allergies with chronic sinusitis, and is currently stressed. Thus, it is necessary to consider lifestyle risk factors and patient history in th...
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