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Nursing Care Plan for Gastritis

Gastritis

Gastritis is an inflammation of the stomach lining. Many things can cause gastritis. Most often the cause is infection with the same bacteria -- Helicobacter pylori -- that causes stomach ulcers. An autoimmune disorder, a backup of bile into the stomach, or long term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can also cause gastritis. In some cases, the stomach lining may be "eaten away," leading to sores (peptic ulcers) in the stomach or first part of the small intestine. Gastritis can occur suddenly (acute gastritis) or gradually (chronic gastritis). In most cases, gastritis does not permanently damage the stomach lining.

Causes:

Gastritis can be caused by infection, irritation, autoimmune disorders (where the body' s immune system mistakenly attacks the stomach), or backflow of bile into the stomach (bile reflux). Gastritis can also be caused by a blood disorder called pernicious anemia.

Infections can be caused by:
  • Bacteria (usually Helicobacter pylori)
  • Virus (including herpes simplex virus)
  • Parasite
  • Fungus

A number of things can cause irritation, including:
  • Long term use of NSAIDs, such as ibuprofen (Advil, Motrin) or naproxen (Aleve)
  • Alcohol use
  • Cigarette smoking
  • Chronic vomiting
  • Coffee and acidic beverages
  • Too much stomach acid (such as from stress)
  • Eating or drinking caustic or corrosive substances (such as poisons)
  • Trauma (for example, radiation treatments or having swallowed a foreign object)

Other causes for gastritis are very rare. These include:
  • Systemic disease (for example, Crohn's disease)
  • Sarcoidosis

Signs and Symptoms:

The most common symptoms of gastritis are stomach upset and pain. Other possible symptoms include:
  • Indigestion (dyspepsia)
  • Heartburn
  • Abdominal pain
  • Hiccups
  • Loss of appetite
  • Nausea
  • Vomiting, possibly of blood or material that looks like coffee grounds
  • Dark stools


Source : http://www.umm.edu




5 Nursing Diagnosis for Gastritis

1. Risk for Deficient Fluid Volume related to inadequate intake, vomiting.

2. Imbalanced Nutrition : Less Than Body Requirements related to inadequate intake, anorexia.

3. Acute Pain related to inflammation of gastric mucosa.

4. Activity intolerance related to physical weakness.

5. Knowledge Deficit : about diseases related to lack of information.
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