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A: Questions is related to medical surgical nursing Solution given below
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- Discuss type of Peptic Ulcers Acute vs. Chronic Ulcer
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- Differentiate between Crohn's disease and ulcerative colitisDefine the meaning of the term "peptic ulcer disease". Discuss some of the risk factors that make people susceptible (including factors that protect the mucosa of the stomach/duodenum and those that cause damage to it. ANSWER SHOULD INCLUDE: Accurate definition, e.g. mucosa break greater than 3-5mm in the stomach or duodenum with a visible depth. Discussion of factors e.g. infections (H. Pylori; others mainly in immunocompromised patients, e.g. cytomegalovirus ,tuberculosis, and syphilis), gastric bypass surgery, cigarette smoking, medication/drugs, physiological stress associated with critical illness (e.g. septicaemia), autoimmune diseases, eg, vasculitis, sarcoidosis, Crohn's disease. Discussion of factors e.g. protection: bucarb, blood flow, prostaglandin, mucus. Damage: H. Pylori, gastric acid, pepsin, drugs e.g. NSAIDCompare the three types of peptic ulcers.
- Explain why infection was not thought to be the cause ofpeptic ulcer in the past.The most significant aspects of diagnosing acute perforation of ulcer disease are: History of ulcer disease Severe pain around the umbilical protuberance, transferred to the right lower abdomen Severe abdominal pain Free air under the diaphragm Abdominal pain relieved several hours later, suggesting disease improvementDescribe the nursing care for a patient with a peptic ulcer.