NURS334: ADULT NURSING

WHAT TO LOOK FOR

 Gnawing or burning epigastric pain
1 ½ -3 hrs post meal
 Nocturnal epigastric pain or burning
 Epigastric tenderness
 Early satiety
 Anorexia
 Nausea and vomiting
 WHAT TO LOOK FOR2
 Belching
 Weight loss
 Dizziness
 Syncope
 Hematemesis
 Malena stools
 REST AND COMFORT
 Assess level and nature of pain
 Administer prescribed H2 blockers,
PPI, anticholinergics, antacid
 Administer prescribed analgesia
 Teach and encourage stress
reduction and management
 Initial NPO status
 Small frequent meals on resumption
 REST AND COMFORT2
 Avoid spicy, hot or cold foods
 Avoid coffee, cola drinks, alcohol,
milk
 Promote bed rest or light activity
 Provide quiet relaxed environment
 Limit visitors
 Utilize non-pharmacological
interventions
FLUID AND ELECTROLYTE
 Strictinput and output monitoring
and recording
 Administer IV fluid and blood
products as prescribed
 Administer prescribed antiemetics
 Administer prescribed antacids, PPI,
H2 blockers
 NG tube for gastric decompression
FLUID AND ELECTROLYTE2
 Monitor P and BP
 Prepare for surgery
 Monitor lab values
 Electrolyte replacement as
prescribed
 Monitor skin, lips, MM
 Monitor for changes in mental status
 Monitor for signs of bleeding
 NUTRITION
 Initial NPO status
 Assess nutritional status
 Eliminate foods causing distress
 Bland high calorie, high protein diet
 Provide small frequent meals
 Provide nutritional supplements
 Parenteral nutrition prn
 Initial and daily weights
 Administer prescribed medications
 ELIMINATION
 Assess elimination pattern
 Administer antidiarrheals
 Monitor for signs of hypovolemia
 Monitor for signs of skin breakdown
around anus
 Utilize measures to alleviate GI
bleeding