1、Peptic Ulcer disease(PUD),by Kelly minyi xu from Guangzhou Medical University,Learning Objectives,To master the cause of peptic ulcer clinical manifestations and complications; Be familiar with the key points of the pathogenesis and treatment of peptic ulcer; To master the peptic ulcer nursing inter

2、vention and health education;,Definition,A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. (Uphold The local hot compress,Medication and care,抗酸劑：應(yīng)在飯后或睡前1h，乳液要震動(dòng)，應(yīng)咀嚼片。不與衣服的酸 性飲料，避免與牛奶同服； 氫氧化

3、鋁凝膠：引起磷缺乏癥表現(xiàn)食欲不振、無力長(zhǎng)期服 用引起便秘，可與氫氧化鎂交替。 H2RA ：應(yīng)在餐中或餐后服，也可把一日的劑量在睡前服用 靜脈給藥應(yīng)控制速度（過快低血壓和心律失常） PPI類： 可引起頭暈 硫糖鋁：在酸性環(huán)境下有效，餐前1小時(shí)服用。不能與多酶片同服， 鉍劑：因在酸性下起作用，故餐前服。可使糞便呈黑色。,Diet,Eating little but often and regularly . Avoid eating raw, cold, hard and strong irritant food. Select easily digestible and nutritious f

4、ood. Eating pasta, adequate skim milk during active period . After the symptoms is alleviated,you should return to normal meal diet timely. Nutrition monitoring (such as :body weight, hemoglobin),Rest,The light symptom: appropriate activities to distraction the attention The heavy symtom : stay in b

5、ed for a few days to 1 2 weeks, relieve pain symptoms,Monitor,Vital sign Measuring weight on a regular basis, monitoring nutritional indexes such as serum albumin and hemoglobin,Psychotherapy and heath education,Information about the relationship between peptic ulcer and factors such as Hp, NSAIDs,

6、smoking, alcohol intake ,stress. Education about both therapeutic and preventive strategies. Lifestyle management Avoid the use of steroid, caffeine , aspirin and other NSAIDs . Instruction about the medication regimen prescribed and how to take the drugs. Teach the client the symptoms that may indicate a complication, such as increased abdominal pain or distention, vomiting, black or tarry stools ,or fainting.,Question,Which