Peptic Ulcer Disease Nursing, Pathophysiology, Treatment | Gastric Ulcer vs Duodenal Ulcer Part 1
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- čas přidán 30. 03. 2017
- Peptic ulcer disease nursing lecture review on pathophysiology, treatment, symptoms, causes (h. pylori) and complications. Peptic ulcer disease is the formation of ulcers in the lining of the upper GI tract that affects mainly the mucosal lining of the stomach, duodenum, or esophagus. There are various types of peptic ulcers such as gastric ulcers which are located in the stomach and duodenal ulcers which are located in the duodenum.
Gastric ulcer vs duodenal ulcer include the following characteristics: Patients who have gastric ulcers tend to experience pain with food intake (approximately 1-2 hours after a meal). While with duodenal ulcers, food tends to relieve pain. Therefore, the patient may have pain 3-4 hours after eating when the stomach is empty.
In addition, duodenal ulcers can cause epigastric pain in the middle of the night while gastric ulcers do not. Patients with gastric ulcers describe the pain as dull or aching, while patients with duodenal ulcers describe the pain as gnawing.
What causes peptic ulcer disease? The most common causes of PUD are an h. pylori infection or regular NSAID usage. Helicobacter pylori are spiral-shaped bacteria that invade the GI mucosa. They can live in the acidic conditions of the stomach because it secretes urease which breakdowns down urea and this produces ammonia which neutralizes the stomach's acid. H. pylori most likely spreads from consuming something contaminated with the bacteria as in fecal to oral or oral to oral transmission.
Another cause is NSAIDs usage which breakdowns the defense system of the stomach's lining. NSAIDs work to decrease the production of prostaglandins. Prostaglandins allow us to feel pain, fever, or other types of inflammation. In addition, the stomach uses prostaglandins to keep the stomach protected by promoting the stomach cells to release mucous rich in bicarb, regulating acid amounts via parietal cells, and perfusion to stomach. When the defense system is altered it allows gastric acid to penetrate the lining and cause ulcer formation.
Signs and symptoms of PUD include indigestion and epigastric pain that can be felt from the breastbone to the belly button. It is typically described as a gnawing, aching, or dull pain.
Complications of peptic ulcer disease include: gastrointestinal bleeding, perforation which can lead to peritonitis, and obstruction of the pylorus which is a muscular section that connects the stomach and duodenum together and allows food to flow between these parts of the GI tract.
Treatment of peptic ulcer disease includes: medications such as proton-pump inhibitors, histamine receptor blockers, antacids, muscosal healing drugs, antibiotics, bismuth salisalycylates, surgery such as gastric resection, vagotomy, or pyloroplasty.
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Hey everyone! Thank you so much for watching the video. I really appreciate it :) Don't forget:
Part 2: czcams.com/video/BHeVB7nrK0I/video.html
Quiz: www.registerednursern.com/peptic-ulcer-disease-nclex-practice-quiz/
Notes: www.registerednursern.com/peptic-ulcer-disease-nclex-review/
More GI lectures: czcams.com/play/PLQrdx7rRsKfVVQ5TeRY7Vy1Tq3pcGTDFO.html
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RegisteredNurseRN thanks for the video, we'll explained and thorough. can u pls upload hurshprung, intususception and pylori stenosis? thanks
You're most welcome! I'm so happy you liked how I explained the material :) Yes, I will add those topics to my list. Thank you for the ideas!
Thank you so much
That was really helpful, thankyou so much and God bless you
Watched all your GI videos over the past 2 weeks, which were all SO amazing! Just took my exam and got a 86%! Which is 20% higher than my last exam. Thank you so much! 😊😊
She is so much easier to understand than the textbook
Thank you for all you do?
I recently found and supplemented my nursing lectures in school with your videos, and I just t gave thanks to God first and thank you for all you do.
I sometimes wonder why people on CZcams teach better than real classroom teachers? Better explain on CZcams. I have come to realize that classroom teachers only read from slides. Hmmm thanks Sarah I appreciate you teaching ❤.
They are hungry for likes 😂😂😂thats why
Thank you so much for this! I am trying to revise for my medical school exams and this is one of the best videos on peptic ulcers - clear and concise!
Hi Sarah,
Thank you for providing these nursing video lectures. As a mature nursing students, your videos help me to not feel overwhelm by the amount information during the lecture but it helps me to study for the nursing exams by focusing on the key points. Thanks again from Canada...
Hey, Sarah. I want to thank you so much for your great videos. I am in nursing school and your videos have truly helped me learn and understand the material. Thanks for making this nursing journey easier. God Bless!!!!!!!!!!!!!!!
I was half way thru med/surgery on my breaking point... my advisor suggested I used this as one of my teach back... one of my instructor has the more difficult material I just couldn't think of nothing else to do, I add this and have pass my last 2 test... thanks for breaking it down and mentioning key points. This help me connect it better
I've watched your videos throughout nursing school to get my associate's RN and have always appreciated them. I'm here again, this time getting my bachelor's, and your videos STILL are the most effective to my learning. Thank you so much Sarah, for all you do!!!
Hi RegisteredNurseRN!
I'm Gabriella and I've been watching your videos ever since I started nursing school!
I must say you are truly awesome. You manage to keep your videos short, simple and straightforward!
I congratulate you for your dedication on making these videos for nursing students such as myself!
I have one request though: CAN YOU PLEASE MAKE A SPECIAL VIDEO ON CARE OF SURGICAL PATIENTS?
That'll be so useful not only for me but for so many others! Thanks in advance!!!!
Hello Gabriella :) Thank you for taking the time to leave this very kind comment. I really appreciate it. I'm so happy the videos are helping you and that you like how I present the material. I will add your request to my list. Thank you for it :)
RegisteredNurseRN
Thank you so much!
Thank you so much for this. You break it into such a simple way and I understand all things. God bless you 🤗
Aww, thank you so much :) I really appreciate the kind comment!
thank you so much for this informative video! great concept, easily explained and dissected so that even those with little background will easily follow through the case. please keep producing high quality videos. i really appreciate all your efforts. keep motivating and inspiring future nurses!
Thank you for this video, it came right on time. I am suffering with hpylori symptoms even after treatment. It has certainly made me more aware of what our patients go through because it is an awful infection to deal with. Looking forward to part 2.
Hello Hazel :) It is awesome to see you on here again! I'm so sorry you are suffering from h. pylori....no fun at all! I've had many patients who've experience this and it is awful! Thank you for watching the video and for the comment :)
YOU ARE THE BEST!!!!!!! THANK YOU SO VERY MUCH FOR MAKING THIS VIDEOS.
Thanks for helping me understand Peptic Ulcers Disease.
Registered nurse thank you for all your videos thanks to you and your well explained material I am doing good on my nursing classes thank you, I was failing but as soon as I srarted watching your videos I boost up my grade thanks again!
Hi!! I'm a nursing student first year and this really helps me a lot! You explain it excellent thank you so much!! You're awesome and you seem like a great nurse!
Hi Sarah, thank you so much for making all the videos for us to understand it all easily. For a few months now, I have been following you. I never escape a day without watching your video series. Most of the time during my meal and resting time. I plan to take the NCLEX this November. So your videos help me tremendeously. You are my angel. Love from Philippines.
I'm so glad I found this page. Very helpful
You are a very good tutor, making things simple and to the point
Thank you so much for your videos. Your lectures are great and I enjoy them very much!
You are truly amazing! Studying for my exam on Monday!! Thanks so much :)
HEY SARAH .Thank you very much for the informative video. Your way to explain the mechanisms is very advanced. Thanks
Thank you so much for these videos! You have helped me so much in nursing school! I am always on here looking for more!
Thank you very much, Jenna :) I'm so happy my videos are helping you through nursing school. Every week I upload new videos with quizzes, so always stay tuned ;)
Thank you so mucH miss sara i fell very comportably after watching your beautiful and informative lecture .
May God bless you and fulfill all your wishes.
I wish I found your videos during nursing school. Now I watch your videos to review for my med-surg certification exam. Thank you!
Thank you Sarah! I am in a Master’s program and this makes everything so much easier
Very good presentation, that's a lot of information! Thanks Sarah!
So glad i found your channel. Will sit for the nclex on June and don't really know where to start my review. Initially, i answered questions so i know what are the topics commonly asked. I do have Saunders and while its helpful, it is over whelming. Your videos simplify topics. Will watch all your videos.
I'm so happy you found me too :) Thank you so much for the amazing comment. I hope you ace NCLEX. Always be sure to check my channel regularly because every week I upload new videos with quizzes.
Your videos and notes are a savior! You broke down endocrine disorders so well now we're up to GI disorders. Your channel is a must for all nursing students. Thanks!
Aww, thank you so much for the awesome comment :) I'm so glad you like my videos! Thank you for the comment!
Good job
Sarah, I am so thankful for you! More so now than ever with nursing school being online now. Your videos are always that added substance that I need to understand the full picture! I just want to say thank you so much (air hugs) you’re amazing and you’re doing a great thing for us nursing students and more all over the 🌍! Again thank you!!!!
Thank you so much for this video. It helped me understand PUD better. Got confused in class with the gastric and duodenal ulcer so therefore, got the question incorrect on the test but I will get it right on the final. Again thank you so much for all you do. xoxo
You're most welcome, Tina :) I'm glad you liked the video. Yeah, those questions are tricky about gastric vs duodenal. I remember those on exams.
Dealing with a lot of GI bleeds in my hospital lately, this is a very useful recap! Thank you 🙏
Wow! Your videos are so informative. You make it so easy to understand. Thank you please keep doing what you're doing!
You are awesome ,I learnt so much after listening to your lectures. Thanks for ur great job !
All your videos are amazing...explained in depth...and simple to understand..thankyou so much !! really appreciate your help ma'am! 😊🤗🖒🖒
Thank you so much for taking the time to leave this comment. I really appreciate it! I'm glad you liked the video.
Thank you, so helpful in nursing school!
Hi Sara, your videos are superb. Your scientific rationale is wonderful, I benefiting a whole lot for my NCLEX prep. Thanks so much.♥️♥️♥️
you are a blessing for Nursing students
Hi, thank you for the videos. I fell in love with you. I mean I learn a lot and loving it. :-) take care
Hi Sarah, it is more than a lecture rather it is more less of an awareness education to me
Thank for the mentorship
Thanks Sarah for this wonderful lecture it's helpful this quarantine season 👍
Sarah mam
Your videos really aid in covering d syllabus ..
Thanku so much for such efforts .
&i really appreciate d way
U hv shorted up d topics ...
& Make them understandable.
I have something paining in the stomach from the umbilical cord up it gets big like a big am worried
I love you all the way from Trinidad honey well explained you remind me of my pathophysiology tutor. without this what would I have done?
Thank you so much
I learn more &more
Thank you very much for making this video, I really understand more about pud
Thank you Sara you make everything so easy. Very soon I will do Nclex and your videos make me more confident.👌
Anyone know the significance of H. Pylori being present in a blood test, does having the bacteria definitively say you have an ulcer or just place you at greater risk of developing one? Should a physician automatically refer out to GI for the EGD if the bacteria is present with signs and symptoms?
I have Peptic Ulcer Disease now and which is why I'm listening to this lecture.
Ur way of teaching is good
Really very helpful
Pls make a presentation on epilepsy along with medication dose and ADRs
great job as always! thank you Sarah!
Thank you so much :) I'm so glad you enjoyed the video. Thank you for watching it and for taking the time to leave this comment.
Thank you! You made my proffessors 100 slide powerpoint so much less complicated and organized.
I am a pharmacy student and I find your videos very helpful. Good job!
Thank you so much for taking the time to leave a comment. I really appreciate it :) I wish you the best in your studies!
thank you very much, i appreciate you with my heart
Your explanation is very very clearly
thank you
Thanks soooo much theses lectures are extremely helpful
hi i really like ur all video u did very good job and hard work for that and make nclex rn study easy for me thaks alot.
Thank you so much for the really kind comment. I appreciate you taking the time to leave it :) THANK YOU for watching my videos!! I wish you the best on NCLEX when you take it!
Very good explanation. Good job.
Thanks for all your videos. But can u guide how to study pharmacology? As i feel its so hard to remember things. And i really appreciate that your videos helped me. Thanks and may god bless you😊
Hello :) Thank you very much for watching the video and for the comment. I'm so happy you like the videos! Pharmacology can be so overwhelming....so don't feel bad that you find it hard to remember things. I actually have a video where I give in depth tips on how to study for pharm. I think it may help guide you. You can watch it here: czcams.com/video/KGCxR_a9694/video.html
Thank you for sharing this vedio .so sad to think cause my father until now suffering his ulcer disease.please help me to relieve his pain 😭😭 we tried many times to take the medicine but no effect . He also consult a doctor .but if the doctor has a prescription he will not recover until now.
Can’t say enough about how much I love you ❤️💕💕💕
saaaaaame I agree, I pray God bless Sarah in all her endeavors and keep her and her family. #myfavourite lecturer
Thanks so much doc
Sarah! Is there any chance you could create a video over gastritis? Please and thank you!! You're the best :)
Hello Courtney :) It's definitely on my list for future videos. Thank you so much for watching :) It means a lot!
i have learned alot thanks for the information you have done a great job...by the way how bad is a peptic and gastric ulcer which i now have ?
Best looking nurse on CZcams
As always thank you for your videos. You have a gift!
you are my best teacher ; thank you
Thank you so much! Can you please do a video on LABA/SABA? These are confusing medications :) Thanks!
I tested negative for pylori. But I suffer from this horribly. The first time feeling this I thought I was having a heart attack. The pain is unbearable 😭😭 I'll go a month or so without issues then it hits me out of no where. I'm not sure if it's this or gerd but the pain scares the crap out of me! Omeprazole helps alot when I take it daily I wont have this pain. But once i stop it it's bad.
This is exactly how I feel! I was placed on Pantoprazole and I forgot to take it for one day and the next day felt like hell! I was also diagnosed with peptic ulcer, I was given some medication which helped and the pain left for months and then came back again! I’m just tired . at this point, I feel like no matter what the pain never goes away😫
Very educative. Thank you
thank you for this
U helped many doctors
Hi Sarah, I'm not a student of medicine, just happened to see your channel by chance. Is it possible that a person can have both gastric ulcer and duodenal ulcer? You explanation, by the way is very clear and understandable. Thanks.
I have watched both videos very good. The answer to your question is yes. I have both ulcers. I was over medicated by a doctor when I was 25 years old. I was hospitalized and tests were done over a four day stay. Two ulcers found poetic is stomach and duodenal small intestine at the top. Sometimes both come back for different reasons over my life. I am 66 years young and I just keep a positive attitude and I get through healing. I am not on any kind of medication for anything. I am careful with my diet. I did have a tooth pulled last year and had to take antibiotics and ulcers started to rumble. I had to wait for it to heal for 3 months. I am recovered but have to be careful of drugs or food. I take probiotics, digestive enzymes and sometimes Gaviscon antacid along with drinking aloe juice pure not watered down. I am very strong I am feeling amazing today. Pray you never experience this condition I don't wish it on my worse enemy. I have faith in God Jesus is my rock🙏🙏🙏
VERY KNOWLEDGEABLE!!!!
very informative indeed
do you have any lesson on GI bleeding
Nice explanation and good fluent English
You Rock!
Very well said.👌🏾
Thanks you 💖
Very nice work you do.
Thank you so much for your kind words :) I appreciate it!
RegisteredNurseRN: You're welcome.
Thanks 😊
Superb 💐
When your medsurg teacher didn’t teach the content that is going to covered heaviest on the final, you rely on nurse Sarah and pray for the best 😢
i had peptic ulcer im on tablets take omeprazole
As usual, brilliant explanation. Thank you ever so much.
THANK YOU THANK YOU THANK YOU TIMES INFINITY :)
Thank you so much for the kind words :) It really means a lot to me that my videos are helping you! I"m honored to help!
Hi sara,
thanks for your videos,they really helpede,I just passed my exams,thanks once again
Yay! I'm so happy you passed! Congrats! Thank you so much for the awesome comment and for taking the time to leave it.
Welcome, keep it up coz your videos are of great help. God bless you.
You're the best
Good mam
Thank u.
hi sara thank you so match have been watch your videos many time...
is pleasure to watch this video
actually iam lecturer in assosa university nursing school,ethiopia
Sara! Thank yo so much for teaching us nursing topics. I just found out that i pass! Thanks to you!
Congratulations!!! I'm so very happy for you! You have been a viewer for a long time now and it is so awesome to hear that the videos helped you prep. I wish you the best in your new career as a nurse! I hope you will keep following the videos!
Don't worry! Thank you so much! Without your videos ill be having a hard time to study content.
l,falled in love of your beatiful explantion
Nice explanation mam
Thank u sister
What is h pylori
This is poweful