Saturday, October 22, 2011

Nursing Interventions for Gastritis

Gastritis is not a single disease, but means inflammation of the stomach lining. Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with bacteria such as Helicobacter pylori. Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well.

Nursing Interventions for Gastritis


Symptoms of Gastritis

The most common symptoms are abdominal upset or pain. Other symptoms are belching, abdominal bloating, nausea, and vomiting or a feeling of fullness or of burning in the upper abdomen. Blood in your vomit or black stools may be a sign of bleeding in the stomach, which may indicate a serious problem requiring immediate medical attention.


Nursing Diagnosis and Nursing Interventions for Gastritis


1. Acute pain related to obstruction / spasm of the duct, the inflammatory process and tissue ischemia.

Nursing Interventions for Gastritis
  • Observe and record the location and character of pain (persistent, intermittent, colicky)
  • Record the response to pain
  • Increase bed rest, let the patient make a comfortable position.
  • Control the temperature of the environment
  • Encourage use of relaxation techniques
Collaboration:
  • Anticholinergics: Atropine, Propentelin (Pro-banthine)
  • Sedatives: Phenobarbital
  • Narcotics: meperidine hydrochloride
  • Monoktanoin
  • Relaxation of smooth muscle

2. Imbalanced nutrition less than body requirements related to obstruction of bile flow

Nursing Interventions for Gastritis
  • Assess abdominal distension
  • Calculate the calorific intake, keep the comments about the appetite to a minimum.
  • Provide a pleasant atmosphere at mealtime
  • Ambulation and activities corresponding increase tolerance
Collaboration:
  • Add the appropriate diet tolerance, high fiber, low fat
  • Provide an overview of bile
  • Supervise laboratory examination
  • Give local nutritional support as needed

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