Gastritis Overview and Nursing Care

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Questions and Answers

What complication can arise from untreated gastritis?

  • Chronic fatigue
  • High blood pressure
  • Stomach cancer (correct)
  • Diabetes

Which vitamin deficiency can be reversed with B12 injections if caused by gastritis?

  • Vitamin B12 (correct)
  • Folic acid
  • Vitamin D
  • Vitamin A

What is a significant risk factor for developing gastritis?

  • Regular exercise
  • H.pylori infection (correct)
  • High-fiber diet
  • Low cholesterol intake

Which lifestyle change can help prevent gastritis?

<p>Reducing stress (B)</p> Signup and view all the answers

The presence of H.pylori can lead to which of the following conditions?

<p>Peptic ulcers (C)</p> Signup and view all the answers

What is one potential effect of severe gastritis on the stomach wall?

<p>Perforation of the stomach (B)</p> Signup and view all the answers

What should individuals avoid to lessen the impact of gastritis?

<p>Fried and spicy foods (C)</p> Signup and view all the answers

What condition can result from gastritis leading to perforation of the stomach?

<p>Sepsis (B)</p> Signup and view all the answers

Which condition is commonly associated with eosinophilic gastritis?

<p>Asthma (B)</p> Signup and view all the answers

What is a common symptom of gastritis that may be confused with indigestion?

<p>Upper abdominal pain (B)</p> Signup and view all the answers

Which of the following is a diagnostic method for identifying H.pylori infection?

<p>Blood test (A)</p> Signup and view all the answers

Which type of medication is used to alleviate indigestion symptoms in gastritis treatment?

<p>Antacids (D)</p> Signup and view all the answers

What does the breath test for H.pylori involve?

<p>Exhaling into a balloon-like bag after swallowing urea (A)</p> Signup and view all the answers

Which symptom is NOT generally associated with gastritis?

<p>Joint pain (B)</p> Signup and view all the answers

Which treatment option is specifically targeted at reducing stomach acid production?

<p>Histamine (H2) blockers (B)</p> Signup and view all the answers

What is an indicator of a more severe gastritis case requiring immediate attention?

<p>Shortness of breath (B)</p> Signup and view all the answers

What is gastritis primarily characterized by?

<p>Inflammation of the lining of the stomach (C)</p> Signup and view all the answers

Which of the following is NOT considered a common cause of gastritis?

<p>Increased physical activity (D)</p> Signup and view all the answers

What differentiates acute gastritis from chronic gastritis?

<p>Acute gastritis occurs suddenly, while chronic gastritis develops slowly (D)</p> Signup and view all the answers

What complication can arise as a result of untreated gastritis?

<p>Stomach ulcers (D)</p> Signup and view all the answers

Which risk factor is linked to the worsening of gastritis symptoms?

<p>High salt consumption (A)</p> Signup and view all the answers

What is one of the first steps in managing a patient with gastritis?

<p>Elimination of triggering factors (B)</p> Signup and view all the answers

What essential action should be taken to prevent gastritis?

<p>Avoiding high-fat food (B)</p> Signup and view all the answers

Which type of gastritis is most commonly associated with bacterial infection?

<p>Infectious gastritis (C)</p> Signup and view all the answers

What characterizes chronic gastritis in terms of cellular accumulation?

<p>Accumulation of lymphocytes and plasma cells in the lamina propria (D)</p> Signup and view all the answers

What is the most common cause of chronic gastritis?

<p>Chronic bacterial infection by Helicobacter pylori (C)</p> Signup and view all the answers

What effect does Helicobacter pylori infection have on gastric epithelium over time?

<p>Results in metaplasia or atrophy of gastric epithelium (A)</p> Signup and view all the answers

What are the typical treatment options for eradicating Helicobacter pylori infection?

<p>Combination of three antibiotics (C)</p> Signup and view all the answers

What can chronic Helicobacter gastritis potentially predispose a person to develop?

<p>Adenocarcinoma in metaplastic gastric mucosa (D)</p> Signup and view all the answers

Which of the following is NOT a type of chronic gastritis based on its cause?

<p>Alimentary gastritis (A)</p> Signup and view all the answers

What is a characteristic feature of autoimmune gastritis?

<p>Destruction of parietal cells leading to atrophy (C)</p> Signup and view all the answers

Which type of gastritis is primarily caused by chemical irritants?

<p>Chemical gastritis (C)</p> Signup and view all the answers

Which of the following foods is recommended for a diet aimed at helping relieve symptoms associated with H.pylori?

<p>Lean meats like chicken and fish (B)</p> Signup and view all the answers

Which food is noted for having antimicrobial properties effective against H.pylori bacteria?

<p>Garlic (B)</p> Signup and view all the answers

When is it important to administer pain medications or antiemetics to a patient?

<p>Right before meals if pain or nausea affects appetite (A)</p> Signup and view all the answers

Which of the following is NOT recommended as part of a bland diet for a patient recovering from gastric issues?

<p>Fried chicken (A)</p> Signup and view all the answers

What is the advised approach if a patient is experiencing vomiting?

<p>Give antiemetics and administer IV fluids as ordered (C)</p> Signup and view all the answers

Which of these options should NOT be included in nursing management for a patient with H.pylori infection?

<p>Provide high doses of caffeine-rich beverages (B)</p> Signup and view all the answers

Which of the following foods is beneficial in aiding healing of ulcers and blocking the growth of H.pylori bacteria?

<p>Turmeric (D)</p> Signup and view all the answers

What dietary strategy is recommended for patients who can tolerate oral feedings?

<p>Provide a bland diet per their food preferences (A)</p> Signup and view all the answers

What is the nursing diagnosis related to inadequate nutrient absorption?

<p>Imbalanced Nutrition: less than body requirements r/t insufficient absorption of nutrients (C)</p> Signup and view all the answers

Which of the following food items should be discouraged for a patient with gastritis?

<p>Citrus fruits (B)</p> Signup and view all the answers

What should a nurse do if a patient with gastritis is experiencing vomiting?

<p>Place the patient NPO (C)</p> Signup and view all the answers

How often should the nurse assess the patient's pain level?

<p>Every four hours (C)</p> Signup and view all the answers

Which intervention is important to control acute pain in a patient with gastritis?

<p>Assessing pain characteristics (B)</p> Signup and view all the answers

What is a key expected outcome for a patient with imbalanced nutrition due to gastritis?

<p>The patient can absorb an adequate amount of nutrients (A)</p> Signup and view all the answers

Which medication may worsen gastritis and should be assessed in a patient?

<p>Non-steroidal anti-inflammatory drugs (NSAIDs) (C)</p> Signup and view all the answers

What approach should be taken for meal planning for a patient with gastritis?

<p>Advise frequent small meals to reduce irritation (A)</p> Signup and view all the answers

Flashcards

Gastritis complications

Untreated gastritis can cause peptic ulcers, stomach bleeding, perforation, peritonitis, sepsis, and stomach cancer.

Anemia from gastritis

H.pylori-related gastritis or ulcers can bleed, reducing red blood cells.

H.pylori infection

A bacterial infection that can cause gastritis and stomach ulcers by damaging the stomach lining.

Perforation of the stomach

A rupture in the stomach wall that allows stomach contents to leak into the abdomen, leading to potentially fatal complications.

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Peritonitis

A dangerous infection resulting from stomach contents entering the abdominal cavity.

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Sepsis

Widespread inflammation caused by a severe infection, potentially life-threatening.

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Stomach cancer risk

Chronic gastritis, especially from H. pylori, can increase risk of stomach cancer by creating stomach lining growths.

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Avoiding gastritis triggers

Reducing alcohol, caffeine, spicy/acidic foods, fatty foods, NSAIDs, and lying down immediately after meals can minimize gastritis risk.

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Gastritis Definition

Inflammation, irritation, or erosion of the stomach lining.

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Acute Gastritis

Sudden inflammation of the stomach lining.

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Chronic Gastritis

Slow-developing stomach lining inflammation.

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Helicobacter pylori

A bacterium that can cause gastritis and ulcers.

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Gastritis Causes

Infection (like H. pylori), medications (pain relievers), and excessive alcohol.

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Stomach Lining Barrier

Protective layer of mucus that protects the stomach from its own digestive juices.

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Risk Factors for Gastritis

Smoking, high-fat/salt diet, and certain medications.

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Complications of Gastritis

Can lead to ulcers and increased stomach cancer risk, but isn't usually serious.

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H. pylori infection

A common bacterial infection of the stomach that can cause chronic gastritis.

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Chronic gastritis

Persistent inflammation of the stomach lining, often caused by H. pylori infection, resulting in damage to epithelial cells.

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H.pylori adaptation

H. pylori is specifically adapted to survive in the low pH environment of the gastric lumen.

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Chronic inflammation

Persistent inflammation in the stomach caused by H. pylori infection.

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Gastric Mucosa Metaplasia

Change in the structure of stomach lining cells to resemble intestinal cells, a change caused by chronic infection.

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Autoimmune gastritis

Gastritis caused by an auto-immune response that damages parietal cells.

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Chemical gastritis

Gastritis caused by chemical irritants like NSAIDs, alcohol, or bile.

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Infection types of Gastritis

Gastritis caused by H. pylori, or other infections.

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Recommended Foods

Fruits, vegetables, lean meats (chicken, turkey, fish), plant-based proteins (beans, tofu), and whole grains (pasta, rice, bread) are generally recommended.

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H. pylori Foods

Garlic, cranberries, ginger, and turmeric may help the stomach get rid of H. pylori bacteria and ease symptoms.

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Bland Diet

A diet of mild and easily digestible foods prescribed for a patient with stomach problems.

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Gastric Upset Foods

Identifying food triggers to avoid worsening stomach irritation.

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Anti-emetics

Medications that prevent or reduce nausea and vomiting.

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IV Fluids

Administering intravenous fluids to maintain fluid and electrolyte balance.

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Smaller Meals

Eating smaller, more frequent meals to reduce stomach irritation.

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Pain Management Pre-Meal

Administering pain medication or antiemetics an hour before meals for discomfort.

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Gastritis Symptoms

Upper abdominal pain, nausea, vomiting, loss of appetite, weight loss, bloating, feeling full after eating, indigestion, heartburn, stomach ulcers, vomiting blood, and black, tarry stool are potential gastritis symptoms.

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H. pylori Breath Test

A diagnostic test where a patient swallows a substance containing urea, exhales into a bag, and elevated carbon dioxide levels indicate H. pylori bacteria.

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Upper Endoscopy

A procedure where a scope is inserted down the esophagus to examine the stomach lining, potentially including a tissue sample (biopsy) for testing.

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Upper GI Exam

A diagnostic procedure utilizing barium to coat the stomach lining, providing detailed X-ray images.

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Gastritis Treatment

Treatment for gastritis varies based on cause; medications like antibiotics, antacids, H2 blockers, and proton pump inhibitors may be used.

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Antibiotics for Gastritis

Antibiotic medications used to treat bacterial infections causing gastritis; multiple antibiotics may be required for a period.

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Antacids & Gastritis

Antacids such as Tums and Rolaids are used to reduce inflammation by neutralizing stomach acid and easing discomfort.

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Proton Pump Inhibitors (PPIs)

Medications like omeprazole and esomeprazole that significantly reduce the production of stomach acid, used in managing gastritis.

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Imbalanced Nutrition

Nutritional intake is insufficient to meet body requirements due to factors like absorption difficulties.

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Gastric rest

Stopping oral intake to allow the stomach to heal, commonly used for acute gastritis.

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NPO

A medical order meaning "nothing by mouth"

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Pain assessment tool

A way to measure the intensity and characteristics of pain.

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TPN

Total Parenteral Nutrition ; A method of providing nutrition intravenously.

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Inflammation of the gastric lining

Underlying cause leading to acute pain in the stomach area.

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Pain level assessment

Regularly checking the extent of a patient's pain every four hours.

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Patient's eating habits

Information about what and how a patient eats.

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Study Notes

Learning Objectives for Gastritis

  • Students will be able to define gastritis
  • List causes and risk factors of gastritis
  • Differentiate between types of gastritis
  • Describe the pathophysiology of acute and chronic gastritis
  • Enumerate types of chronic gastritis based on cause
  • List manifestations of gastritis
  • Explain the diagnosis of gastritis
  • Explain treatment options for gastritis
  • Describe complications of gastritis
  • Discuss gastritis prevention
  • List nursing management options for gastritis
  • Apply nursing care plans for patients with gastritis

Gastritis Introduction

  • Gastritis is a general term for stomach lining inflammation
  • Often due to bacterial infection or certain pain relievers
  • Can be acute (sudden) or chronic (slow onset)
  • In most cases, gastritis is treatable and resolves quickly

Causes and Risk Factors of Gastritis

  • Bacterial Infection (H. pylori): A common worldwide infection, but not all infected individuals develop gastritis or similar conditions
  • Lifestyle Choices: Smoking, high-fat/salt diet
  • Regular Pain Reliever Use (NSAIDs): Ibuprofen (Advil, Motrin IB, etc.) can cause acute or chronic gastritis
  • Age: Older adults are at higher risk due to thinning stomach lining and increased risk of H. pylori infection
  • Excessive Alcohol Use: Irritation of the stomach lining
  • Stress: Severe stress (surgery, injury, burns, severe infections) can cause acute gastritis
  • Cancer Treatment: Chemotherapy and radiation can increase risk
  • Other Diseases: HIV/AIDS, Crohn's disease, celiac disease, sarcoidosis, parasitic infections

Gastritis Types

  • Erosive Gastritis (Acute): Stomach lining wears away, leading to ulcers. Usually serious and often associated with GI bleeding
  • Non-erosive Gastritis (Chronic): Stomach lining does not wear away, but can degenerate or atrophy; sometimes asymptomatic

Pathophysiology

  • Acute Gastritis: Prostaglandin synthesis decrease is thought to be the cause of gastric lining injury. H.pylori infection is a major cause of chronic inflammation leading to injury
  • Chronic Gastritis: Accumulation of lymphocytes and plasma cells in the lamina propria. Damage to epithelial cells often caused by bacterial infection

Types of Chronic Gastritis

  • Autoimmune Gastritis (pernicious anemia & cancer): Parietal cells are destroyed, leading to loss of stomach acid production.
  • Infectious Gastritis (H. pylori): Most common type, linked to stomach ulcers and cancer
  • Chemical Gastritis: Caused by irritants like NSAIDs, alcohol, or bile

Manifestations of Gastritis

  • Upper abdominal pain or discomfort
  • Nausea and vomiting
  • Loss of appetite
  • Weight loss
  • Bloating
  • Feeling overly full
  • Indigestion
  • Heartburn,
  • Stomach ulcers
  • Vomiting blood
  • Black, tarry stool
  • Shortness of breath or lightheadedness

Diagnosis

  • Breath Test: Detects H. pylori infection
  • Blood Test: Checks for anemia and antibodies to H. pylori
  • Stool Test: Checks for bleeding or H. pylori bacteria
  • Upper Endoscopy: Visual examination of the stomach lining
  • Upper GI Exam: Examining the stomach lining using barium

Treatment Options

  • Antibiotics: Treat bacterial infections
  • Antacids: Reduce stomach acid exposure
  • Histamine (H2) Blockers: Decrease stomach acid production (e.g., Cimetidine, Ranitidine)
  • Proton Pump Inhibitors: Further reduce stomach acid production (e.g., Omeprazole, Esomeprazole)
  • Iron Supplements: Treat potential anemia
  • B12 injections: Treat B12 deficiency

Complications of Untreated Gastritis

  • Peptic ulcers
  • Stomach bleeding

Prevention

  • Practice good hygiene: Prevent infection
  • Eat smaller meals: Lessen stomach acid impact
  • Avoid fatty/spicy/acidic foods: Lower irritation
  • Avoid alcohol: Reduce mucosal lining irritation
  • Manage stress: Lower stress
  • Avoid/minimize NSAIDs: If painkiller use is a factor

Nursing Management

  • Monitor vital signs, especially BP, HR, and urine output
  • Administer medications as prescribed
  • Assess for dehydration
  • Monitor fluid and electrolyte balance
  • Provide appropriate nutritional support
  • Educate about medication and lifestyle changes
  • Monitor pain level and provide pain relief measures
  • Teach self-care management and disease management strategies
  • Refer to other specialists for further management as necessary

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