CHAPTER 7 Gastrointestinal System^321
- Administer histamine-2 blockers:
- famotidine, ranitidine, nizatidine
- Administer proton pump inhibitors:
- omeprazole, lansoprazole, rabeprazole, esomeprazole, pantoprazole
- Administer mucosal barrier fortifiers:
- sucralfate
- Administer prostaglandin analogue:
- misoprostol
- Adjust diet.
- Treat H. pyloriinfection if present with combination therapy:
- Proton pump inhibitor plus clarithromycin plus amoxicillin or
- Proton pump inhibitor plus metronidazole plus clarithromycin or
- Bismuth subsalicylate plus metronidazole plus tetracycline.
NURSING DIAGNOSES
- Acute pain
- Risk for imbalanced nutrition: less than what body requires
- Risk for imbalanced nutrition: more than what body requires
NURSING INTERVENTION
- Monitor vital signs.
- Monitor intake and output.
- Assess abdomen for bowel sounds, tenderness, rigidity, rebound pain, guarding.
- Monitor stool for change in color, consistency, blood.
- Teach patient about home care:
- Diet modification to avoid acidic foods, caffeine, peppermint, alcohol.
- Eat more frequent, small meals.
- Avoid nonsteroidal anti-inflammatory medication.
- Stop smoking.