Nursing Care Plan Peptic Ulcer

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ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Acute pain r/t After 8 hours of Independent Goal met, patient
Chemical burn of Chemical burn of nursing intervention • Note reports of pain, • Pain is not always has
“Sumasakit ang gastric mucosa gastric mucosa the patient will including location, present, but if present verbalized relief of
sikmura ko verbalize relief of duration, intensity (0– should be compared pain.
pgkatapos kumain” pain. 10 scale) with patient’s
(I’ve been Damage to the G.I previous pain >Demonstrated
experiencing lining >Demonstrate symptoms. This relaxed body posture
abdominal pain relaxed body comparison may and be able to
immediately after posture and be assist in diagnosis of sleep/rest
eating) as Acute pain able to sleep/rest etiology of bleeding appropriately.
verbalized by the appropriately. and development of
patient complications.

• Review factors that • Helpful in


aggravate or alleviate establishing
OBJECTIVE: pain. diagnosis and
treatment needs.
• Abdomina
l guarding • Identify and limit • Food has an acid
foods that create neutralizing effect and
• Restlessn discomfort such as dilutes the gastric
ess spicy or carbonated contents.
drink.
• facial
grimacing • Encourage small, • Small meals prevent
frequent meals distension and the
• pain scale release of gastrin
of 6 out of
10 • Reduces abdominal
• Encourage patient to tension and promotes
• V/S taken assume position of sense of control.
as follows comfort.

T: 37.5˚C
P: 65
R: 14 • Patient may receive
BP: 110/ 80 nothing by mouth
COLLABORATIVE (NPO) initially. When
• Provide and oral intake is allowed,
implement food choices depend
prescribed dietary on the diagnosis
modifications.
• May be narcotic of
choice to relieve
Administer medications acute/severe pain
as indicated and reduce peristaltic
activity. Note:
• Analgesics, e.g., Meperidine (Demerol)
morphine sulfate has been associated
with increased
incidence of
nausea/vomiting

• Decreases gastric
acidity by absorption
or by chemical
neutralization.
Evaluate choice of
antacid in regard to
• Antacids total health picture,
e.g., sodium
restriction

• May be given at
bedtime to decrease
gastric motility,
suppress acid
production, delay
gastric emptying, and
alleviate nocturnal
• Anticholinergics, e.g.,
pain associated with
belladonna, atropine
gastric ulcer.

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