Peptic Ulcer Disease Nursing, Pathophysiology, Treatment | Gastric Ulcer vs Duodenal Ulcer Part 1

Рет қаралды 1,005,689

7 жыл бұрын

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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Пікірлер: 155

@RegisteredNurseRN 7 жыл бұрын

Hey everyone! Thank you so much for watching the video. I really appreciate it :) Don't forget: Part 2: kzfaq.info/get/bejne/eK6ViaVo09ivYH0.html Quiz: www.registerednursern.com/peptic-ulcer-disease-nclex-practice-quiz/ Notes: www.registerednursern.com/peptic-ulcer-disease-nclex-review/ More GI lectures: kzfaq.info/sun/PLQrdx7rRsKfVVQ5TeRY7Vy1Tq3pcGTDFO Instagram: instagram.com/registerednursern_com/ Facebook: facebook.com/RegisteredNurseRNs Twitter: twitter.com/NursesRN

@muinatodunmbaku6953 7 жыл бұрын

RegisteredNurseRN thanks for the video, we'll explained and thorough. can u pls upload hurshprung, intususception and pylori stenosis? thanks

@RegisteredNurseRN 7 жыл бұрын

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!

@sashm7370 4 жыл бұрын

Thank you so much

@patriciaopenti8209 4 жыл бұрын

That was really helpful, thankyou so much and God bless you

@aliciamarie201 5 жыл бұрын

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! 😊😊

@queenbutterfly4888 5 жыл бұрын

She is so much easier to understand than the textbook

@vivihemer6232 2 жыл бұрын

I sometimes wonder why people on KZfaq teach better than real classroom teachers? Better explain on KZfaq. I have come to realize that classroom teachers only read from slides. Hmmm thanks Sarah I appreciate you teaching ❤.

@muzondiwasabao5832 5 ай бұрын

They are hungry for likes 😂😂😂thats why

@naniebella1645 7 ай бұрын

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.

@sirikalapu1234 5 жыл бұрын

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!

@Stembeker 5 жыл бұрын

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...

@lunadeluz4229 3 ай бұрын

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!!!

@perlahernandez251 3 жыл бұрын

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!

@joycem4129 6 жыл бұрын

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!!!!!!!!!!!!!!!

@gabriellacloiseau3007 7 жыл бұрын

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!!!!

@RegisteredNurseRN 7 жыл бұрын

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 :)

@gabriellacloiseau3007 7 жыл бұрын

RegisteredNurseRN Thank you so much!

@natashadavis7887 5 жыл бұрын

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

@jacquelinenewton8812 5 жыл бұрын

Thanks for helping me understand Peptic Ulcers Disease.

@hazell1593 7 жыл бұрын

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.

@RegisteredNurseRN 7 жыл бұрын

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 :)

@bernayap9824 7 жыл бұрын

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.

@randomgaygirl 4 жыл бұрын

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!

@akmdj6301 5 жыл бұрын

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!

@TamNguyen-qo5sb 2 жыл бұрын

I wish I found your videos during nursing school. Now I watch your videos to review for my med-surg certification exam. Thank you!

@infiniteexo3209 7 жыл бұрын

Thank you so much for this. You break it into such a simple way and I understand all things. God bless you 🤗

@RegisteredNurseRN 7 жыл бұрын

Aww, thank you so much :) I really appreciate the kind comment!

@elizabethnatera8373 5 жыл бұрын

YOU ARE THE BEST!!!!!!! THANK YOU SO VERY MUCH FOR MAKING THIS VIDEOS.

@maudhamuwele6849 6 жыл бұрын

You are a very good tutor, making things simple and to the point

@crystalraym 5 жыл бұрын

Thank you Sarah! I am in a Master’s program and this makes everything so much easier

@R3stored7 6 жыл бұрын

I'm so glad I found this page. Very helpful

@exclusive0ne 7 жыл бұрын

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!

@RegisteredNurseRN 7 жыл бұрын

Aww, thank you so much for the awesome comment :) I'm so glad you like my videos! Thank you for the comment!

@iftekharkhan1071 6 жыл бұрын

Good job

@reganm6044 7 жыл бұрын

You are truly amazing! Studying for my exam on Monday!! Thanks so much :)

@antoutou1 6 жыл бұрын

you are a blessing for Nursing students

@sanaullah0256 4 жыл бұрын

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.

@telstrad626764 7 жыл бұрын

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.

@RegisteredNurseRN 7 жыл бұрын

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.

@godfreylomer7619 Жыл бұрын

Hi Sarah, it is more than a lecture rather it is more less of an awareness education to me Thank for the mentorship

@jennahendricks8102 7 жыл бұрын

Thank you so much for these videos! You have helped me so much in nursing school! I am always on here looking for more!

@RegisteredNurseRN 7 жыл бұрын

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 ;)

@modestahicks831 6 жыл бұрын

Thank you so much for your videos. Your lectures are great and I enjoy them very much!

@tonym6920 6 жыл бұрын

Very good presentation, that's a lot of information! Thanks Sarah!

@adamdama7786 4 жыл бұрын

HEY SARAH .Thank you very much for the informative video. Your way to explain the mechanisms is very advanced. Thanks

@Enirahtak 3 жыл бұрын

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!!!!

@MitochondrialSteve 2 жыл бұрын

Dealing with a lot of GI bleeds in my hospital lately, this is a very useful recap! Thank you 🙏

@nganha3932 6 жыл бұрын

You are awesome ,I learnt so much after listening to your lectures. Thanks for ur great job !

@PrincessSaphora 3 жыл бұрын

Thank you! You made my proffessors 100 slide powerpoint so much less complicated and organized.

@ryancute22 3 жыл бұрын

I have Peptic Ulcer Disease now and which is why I'm listening to this lecture.

@tinaortiz9685 7 жыл бұрын

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

@RegisteredNurseRN 7 жыл бұрын

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.

@juliakhamis4404 4 жыл бұрын

Wow! Your videos are so informative. You make it so easy to understand. Thank you please keep doing what you're doing!

@taharbaziz1225 7 жыл бұрын

I am a pharmacy student and I find your videos very helpful. Good job!

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for taking the time to leave a comment. I really appreciate it :) I wish you the best in your studies!

@sheetalyparmar 7 жыл бұрын

All your videos are amazing...explained in depth...and simple to understand..thankyou so much !! really appreciate your help ma'am! 😊🤗🖒🖒

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for taking the time to leave this comment. I really appreciate it! I'm glad you liked the video.

@yakubuabdulmalik6688 Жыл бұрын

Hi Sara, your videos are superb. Your scientific rationale is wonderful, I benefiting a whole lot for my NCLEX prep. Thanks so much.♥️♥️♥️

@jayapant4186 3 жыл бұрын

&i really appreciate d way U hv shorted up d topics ... & Make them understandable.

@snehabommali457 4 жыл бұрын

Ur way of teaching is good Really very helpful Pls make a presentation on epilepsy along with medication dose and ADRs

@AliRaza-qd6wl 6 жыл бұрын

Thank you Sara you make everything so easy. Very soon I will do Nclex and your videos make me more confident.👌

@jayapant4186 3 жыл бұрын

Sarah mam Your videos really aid in covering d syllabus .. Thanku so much for such efforts .

@carolineandersson3241 4 жыл бұрын

Thank you, so helpful in nursing school!

@wivaquif 5 жыл бұрын

Best looking nurse on KZfaq

@withneydennis4982 4 жыл бұрын

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?

@maryiwuagwu2603 4 жыл бұрын

Thanks Sarah for this wonderful lecture it's helpful this quarantine season 👍

@yourtv447 6 жыл бұрын

Hi, thank you for the videos. I fell in love with you. I mean I learn a lot and loving it. :-) take care

@adewunmisylvia1928 3 жыл бұрын

Thank you very much for making this video, I really understand more about pud

@hannahserice1506 Жыл бұрын

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 😢

@jeanmairepanlaan8675 4 жыл бұрын

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.

@abdallahabunamous3537 6 жыл бұрын

Thank you so much I learn more &more

@fathinomanalsofiany5286 2 жыл бұрын

Your explanation is very very clearly thank you

@jamessimmons7480 Жыл бұрын

VERY KNOWLEDGEABLE!!!!

@saeghe2000 6 жыл бұрын

Very good explanation. Good job.

@rajbirkaur7148 7 жыл бұрын

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.

@RegisteredNurseRN 7 жыл бұрын

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!

@blessysamson6832 7 жыл бұрын

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😊

@RegisteredNurseRN 7 жыл бұрын

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: kzfaq.info/get/bejne/ga1zq7WQxp-aaWg.html

@barbrabikwa2372 4 жыл бұрын

very informative indeed

@margaretwangari6683 4 жыл бұрын

Very educative. Thank you

@ZaizaiJiayuan111 4 жыл бұрын

Can’t say enough about how much I love you ❤️💕💕💕

@sherinascott5967 3 жыл бұрын

saaaaaame I agree, I pray God bless Sarah in all her endeavors and keep her and her family. #myfavourite lecturer

@budoor-km7jk Жыл бұрын

U helped many doctors

@spicefaith7419 5 жыл бұрын

you are my best teacher ; thank you

@shashavali5687 4 жыл бұрын

Nice explanation and good fluent English

@kethniemoreau9064 7 жыл бұрын

great job as always! thank you Sarah!

@RegisteredNurseRN 7 жыл бұрын

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.

@veronicahardimon3260 2 жыл бұрын

Thanks soooo much theses lectures are extremely helpful

@courtneyswarm 6 жыл бұрын

Sarah! Is there any chance you could create a video over gastritis? Please and thank you!! You're the best :)

@RegisteredNurseRN 6 жыл бұрын

Hello Courtney :) It's definitely on my list for future videos. Thank you so much for watching :) It means a lot!

@daniellelee7070 5 жыл бұрын

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?

@joerianassolo229 2 жыл бұрын

I have something paining in the stomach from the umbilical cord up it gets big like a big am worried

@rachelbrigante4711 4 жыл бұрын

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.

@dprimes9923 3 жыл бұрын

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😫

@shedrackchemos813 2 жыл бұрын

thank you very much, i appreciate you with my heart

@Saif-ry9rt 6 жыл бұрын

Good mam

@philian8961 7 жыл бұрын

Hi sara, thanks for your videos,they really helpede,I just passed my exams,thanks once again

@RegisteredNurseRN 7 жыл бұрын

Yay! I'm so happy you passed! Congrats! Thank you so much for the awesome comment and for taking the time to leave it.

@philian8961 7 жыл бұрын

Welcome, keep it up coz your videos are of great help. God bless you.

@xoxolavender 4 жыл бұрын

Thank you so much! Can you please do a video on LABA/SABA? These are confusing medications :) Thanks!

@davidrenteria4349 3 жыл бұрын

As always thank you for your videos. You have a gift!

@Neelam_Home_workout 3 жыл бұрын

Nice explanation mam

@allenschattschneider9730 3 жыл бұрын

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 ?

@celloviola110 3 жыл бұрын

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.

@Painter931 5 ай бұрын

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🙏🙏🙏

@destany9591 7 жыл бұрын

Very nice work you do.

@RegisteredNurseRN 7 жыл бұрын

Thank you so much for your kind words :) I appreciate it!

@destany9591 7 жыл бұрын

RegisteredNurseRN: You're welcome.

@drbad5928 Жыл бұрын

Thanks so much doc

@jholbrook3621 4 жыл бұрын

thank you for this

@healthward3751 6 жыл бұрын

nice video

@paulosjaleta4590 5 жыл бұрын

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

@Sherirose1 6 жыл бұрын

As usual, brilliant explanation. Thank you ever so much.

@gwendolynbrown5127 2 жыл бұрын

Very well said.👌🏾

@rukisan159 7 жыл бұрын

Sara! Thank yo so much for teaching us nursing topics. I just found out that i pass! Thanks to you!

@RegisteredNurseRN 7 жыл бұрын

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!

@rukisan159 7 жыл бұрын

Don't worry! Thank you so much! Without your videos ill be having a hard time to study content.