Peptic Ulcer Disease

Question 1

What bacteria is responsible for most peptic ulcers?

Answer 1

H. pylori

Question 2

Where are most peptic ulcers found?

Answer 2

Gastric and duodenal

Question 3

When a client has ulcers, what will the vomit look like?

Answer 3

“Coffee ground”

Question 4

When a client has ulcers, what will the stool like?

Answer 4

“Black tarry”

Question 5

What medications should be avoided?

Answer 5

NSAIDs

Question 6

Is Tylenol (acetaminiohen) a NSAID?

Answer 6

No

Question 7

ULCERS-GASTRIC VS DUODENAL
Where are the ulcers?
Does stomach acid increase
Where does the pain occur?
When does the pain occur?

Answer 7

Gastric Duodenal
Stomach Duodenum
No Normal production Yes, increased production
Mid- epigastric region Mid- epigastric region
With meals or after eating On an empty stomach
“Starve a gastric ulcer” “feed a duodenal ulcer”

Question 8

What type of medication will be given to decrease gastric acid production in duodenal ulcers?

Answer 8

H2 blockers and proton pump inhibitors

Question 9

What are medication examples of H2 blockers?

Answer 9

Zantac (ranitidine)

Tagamet (cimetidine)

Question 10

What are medications examples of proton pump inhibitors?

Answer 10

Generic ending in “-zole”
Nexium (esomeprozole)
Protonix (pantoprozole)
Prilosec (omeprazole)

Question 11

______ are prescribed to neutralize gastric acid.

Answer 11

Antacids

Question 12

What should you teach clients with ulcers to avoid?

Answer 12

Smoking and alcohol