Nursing Care Plan for Gastritis

Gastritis

Gastritis occurs when the lining of the stomach becomes inflamed or swollen.

Gastritis can last for only a short time (acute gastritis), or linger for months to years (chronic gastritis)

Symptoms
Many people with gastritis do not have any symptoms.

Symptoms you may notice are:

• Loss of appetite
• Nausea and vomiting
• Pain in the upper part of the belly or abdomen

If gastritis is causing bleeding from the lining of the stomach, symptoms may include:

• Black stools
• Vomiting blood or coffee-ground like material

Gastritis is diagnosed through one or more medical tests:

• Upper gastrointestinal endoscopy. The doctor eases an endoscope, a thin tube containing a tiny camera, through your mouth (or occasionally nose) and down into your stomach to look at the stomach lining. The doctor will check for inflammation and may remove a tiny sample of tissue for tests. This procedure to remove a tissue sample is called a biopsy.
• Blood test. The doctor may check your red blood cell count to see whether you have anemia, which means that you do not have enough red blood cells. Anemia can be caused by bleeding from the stomach.
• Stool test. This test checks for the presence of blood in your stool, a sign of bleeding.

Treating Gastritis

1. Conservatives on state of acute
If severe disease, patients need to be treated and given fluids per infusion.

• Bed rest
• Fasting, nasogastric tube pairs
• Analgesics, antibiotics

2. When conservative treatment fails or there is a progressive toxemia cholecystectomy needs to be done. It is necessary to prevent the occurrence of complications (gangrene, perforation, empyema, pancreatitis dam kalangitis)
Cholecystectomy should be done also in the repeated attacks

Nursing Care Plan for Gastritis

Nursing Diagnosis Acute Pain related to obstruction / spasm of the duct, the inflammatory process and tissue ischemia.

Nursing Interventions for Gastritis

• Observe and record the location and character of pain (persistent, intermittent, colicky)
• Record the response to pain
• Increase bed rest, let the patient make a comfortable position.
• Control the temperature of the environment
• Encourage use of relaxation techniques

Collaboration:

• Anticholinergics: Atropine, Propentelin (Pro-banthine)
• Sedatives: Phenobarbital
• Narcotics: meperidine hydrochloride
• Monoktanoin
• Relaxation of smooth muscle

Nursing Diagnosis Imbalanced nutrition less than body requirements related to obstruction of bile flow

Nursing Interventions for Gastritis

• Assess abdominal distension
• Calculate the calorific intake, keep the comments about the appetite to a minimum.
• Provide a pleasant atmosphere at mealtime
• Ambulation and activities corresponding increase tolerance

Collaboration:

• Add the appropriate diet tolerance, high fiber, low fat
• Provide an overview of bile
• Supervise laboratory examination
• Give local nutritional support as needed

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