Case Study Peptic Ulcer Diseas Subjective Patient Profile F.H., a 40- yr-old male immigrant from Vietnam, has a 1-yr his
Posted: Wed Apr 20, 2022 8:49 am
Subjective Data . . Reports increasing substernal pain, especially 2 to 3 hr after eating - Currently avoids alcohol and is taking an over-the-counter PPI Smoking history of 1 pack of cigarettes per day for 20 yr - Has had increasing fatigue with exercise - Reports occasional black bowel movement • Takes Chinese medicine for frequent back pain Objective Data - Physical Examination .Height 5 ft, 5 in tall and weight 140 lb
Diagnostic Studies - Endoscopy reveals a duodenal ulcer - Hgb 10.2 g/dL; Hct 30% - Histology of biopsied tissue reveals H. pylori infection 1. 2. W Interprofessional Care L3.8 nur - omeprazole 20 mg twice daily * 10 days . clarithromycin 500 mg twice daily x 10 days - amoxicillin 1 gram twice daily x 10 days 4. pla
bol Discussion Questions 1. Explain the pathophysiology of peptic ulcer disease. 2. What are the risk factors for duodenal ulcers? Which of these did F.H. have? 3. Priority Decision: Based on the assessment data provided, what are the priority nursing diagnoses? Are there any collaborative problems? 4. Patient-Centered Care: How will you consider F.H.'s cultural preferences in planning care?
Discussion Questions 5. Priority Decision: What are the priority nursing interventions for F.H.? What lifestyle interventions would you recommend for F.H.? 7. Evidence-Based Decision: F.H. asks you if the treatment will work and this will be the end of his problems. How will you respond? 8. Collaboration: What referrals may be indicated?