Question

PN 200 Fundamentals of Nursing II Case Study - Peptie Ulcer - Mylanta/Zantac Jessie Holmes, a 48 year old patient complains of mawing, aching pain in the abdominal area cat sually occurs several hours after eating. He says over-the-counter antacids belp somewhat out the pain has recently intensifies. Dinsostis tests indicate that the patient has a duodenal ulcer 1. Diferentiate between peptic ulcer, gastric ulcer, duodenal ulcer, 2. What are the predisposing factors related to petis ulcers? What additional information do you need from Mr. Holmes? 3. What nonpharmacologic measures can you suggest to alleviate symptoms related to peptic ulcer? The health care provider prescribes Mylanta 2 teaspoons to be taken 2 hours after meals, and ranitidine (Zantac) 150 mg twice a day. The dose of magnesium hydroxide and aluminum hydroxide with simethicone (Mylanta) be taken one hour before or one hour after ranitidine. 4. Mr. Holmes asks the purposes for Mylanta and ranitidine. What is the nurse's best answer? 5. Why does the health care provider suggest that the patient take ranitidine with meals? Why should Mylanta and ranitidine not be taken at the same time? 6. In what ways are ranitidine and cimetidine (Tagamet) the same and how do they differ? Explain your answer. 7. As part of patient teaching, the nurse discusses side effects or ranitidine. What is the most effective manner to teach this patient? Develop a patient teaching care plan for this patient. Mr. Holmes states he had a beer at lunch and has had two gin and tonics in the afternoon. He states the drinks helps him to relax. 8. What nursing interventions should be takin in regard to his alcohol intake?

Answer 1

1.Ans : Peptic ulcers are open sores which develop on the inside wall of the stomach and the upper part of the small intestine.Peptic ulcers include gastric and duodenal ulcers.

GASTRIC ULCER	DUODENAL ULCER
cannot be relieved by food.	Can be relieved by food.
Decreased gastric acid secretion.	Increased gastric acid secretion
. May lead to weight loss	May lead to weight gain.
Pain occurs within 30 minutes to 1 hour after eating.	Pain occurs within 2-3 hours after eating.

2.The predisposing factors for peptic ulcers are:

*Cigarette smoking

*Excessive consumption of alcohol

*Spicy foods

*Excessive stress

*Medications

• Additional information needed from the patient are
  • Dietary pattern of the patient
  • Any regular medications?
  • Habit of smoking or consumption of alcohol.

3.Ans: • Avoid spicy foods.

• Manage untreated stress

• quit smoking and drinking

• wash hands to prevent H.pyloric infection.

• Take medications with or after food.

• Take food that contains natural probiotics.

4.Ans: *Mylanta is the drug used to treat stomach upset and heart burn. It helps to neutralize the stomach acid.

*Ranitidine is used to treat gastric and duodenal ulcers and helps to prevent the reoccurrence of the ulcer.