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Ulcer peptic 1388. Ulcer peptic 1388 Ulcer peptic 1388 Ulcer peptic.

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Presentation on theme: "Ulcer peptic 1388. Ulcer peptic 1388 Ulcer peptic 1388 Ulcer peptic."— Presentation transcript:

1 Ulcer peptic 1388

2 Ulcer peptic 1388

3 Ulcer peptic 1388 Ulcer peptic

4 1388 ulcer peptic * esophageal gastricduodenal More of ulcers chronic ulcers

5 Ulcer peptic 1388

6 Ulcer peptic 1388 etiology etiology secretion of acid and pepsin helicobacter pillory

7 Ulcer peptic 1388 Zollinger Ellisan (ZES) STRESS ULCER are a type of ulcer peptic

8 Ulcer peptic 1388 pathophysiology pathophysiology HCL resistant of mucous regurgitation NSAIDs pancreas tumors increases of gastrin

9 Ulcer peptic 1388 symptoms symptoms More than 20-30% without any symptom progress to perforation More than 20-30% without any symptom progress to perforation pain nausea vomiting pirosis loose weigh diarrheaconstipation hematemesismelena

10 Ulcer peptic 1388 complication Hemorrhage * ObstructionPerforation

11 Ulcer peptic 1388

12 Ulcer peptic 1388 anemia anemia hypovolemia shock hypovolemia shock HCT HB Tachycardia Urine output

13 Ulcer peptic 1388 scar scar edematous edematous obstruction

14 Ulcer peptic 1388 Most in duodenal ulcers Most in duodenal ulcers sever abdominal pain sever abdominal pain tenderness tenderness shock shock BALANC ELECTROLITS SUTUR NGT THREATMENT antibiotic

15 Ulcer peptic 1388 diagnosis diagnosis Physical examination Physical examination history UGI Endoscopy * Endoscopy * Biopsy * Biopsy * Barium swallow Urea respiration test Urea respiration test Serology test

16 Ulcer peptic 1388

17 Ulcer peptic 1388

18 Ulcer peptic 1388 treatment treatment medical surgery drug

19 Ulcer peptic 1388 Stress reduction SmokingcessationSmokingcessation DietarymodificationDietarymodification

20 Ulcer peptic 1388 antibiotic Antagonist H2 Anti acid anti cholinergic MOM - AL(OH)3 - MG(OH)2 ranitidinecimetidine famatidine sucralfate Inhibition proton pomp omeprazoleomeprazole Bismuth salts

21 Ulcer peptic 1388 Gastrodudenestomy or billroth I Gastrodudenestomy or billroth I gastrojejunostomy or billroth II gastrojejunostomy or billroth II vagotomy vagotomy pylorplasty pylorplasty

22 Ulcer peptic 1388 assessment intervention education diagnosis Nursing care

23 Ulcer peptic 1388 painpain consume foods Physical examination Physical examination MalnutritionMalnutrition Family history Vital sign Meal habituation Alcohol NSAIDsNSAIDs

24 Ulcer peptic 1388 painpain lack information stressstress Impaired nutrition

25 Ulcer peptic 1388 relieve relieve pain improve nutrition Stress reduction Smoking cessation* Smoking cessation* Smoking cessation* Smoking cessation*

26 Ulcer peptic 1388

27 Ulcer peptic 1388 diseasedisease CausesCauses diagnosisdiagnosis Self care how to use drug Complications of drug Complication ulcer

28 Ulcer peptic 1388 Medical-surgical nursing ، Brunner & Suddarth Edition 10 th ، translator :pooran saami. Medical-surgical nursing ، Brunner & Suddarth Edition 10 th ، translator :pooran saami. Medical-surgical nursing ، Brunner & Suddarth Handbook ، edition11th. Medical-surgical nursing ، Brunner & Suddarth Handbook ، edition11th. Medical-surgical nursing ، digestion diseases alli naagi. Medical-surgical nursing ، digestion diseases alli naagi. referencereference

29 Ulcer peptic 1388 The end Providers Ahmad Darivishi Raamesh Alineaa nursing86 Providers Ahmad Darivishi Raamesh Alineaa nursing86


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