Thursday, July 5, 2012

Nursing Care Plan for Gastritis

Nursing Care Plan for Gastritis


Gastritis is an inflammation of the lining of the stomach, and has many possible causes. The main acute causes are excessive alcohol consumption or prolonged use of nonsteroidal anti-inflammatory drugs (also known as NSAIDs) such as aspirin or ibuprofen. Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Gastritis may also occur in those who have had weight loss surgery resulting in the banding or reconstruction of the digestive tract. Chronic causes are infection with bacteria, primarily Helicobacter pylori, chronic bile reflux, stress and certain autoimmune disorders can cause gastritis as well. The most common symptom is abdominal upset or pain. Other symptoms are indigestion, abdominal bloating, nausea, and vomiting and pernicious anemia. Some may have a feeling of fullness or burning in the upper abdomen. A gastroscopy, blood test, complete blood count test, or a stool test may be used to diagnose gastritis. Treatment includes taking antacids or other medicines, such as proton pump inhibitors or antibiotics, and avoiding hot or spicy foods. For those with pernicious anemia, B12 injections are given. wikipedia

Nursing Care Plan for Gastritis : Nursing Diagnosis for Gastritis

1. Risk for Imbalanced Fluid Volume and Electrolytes : less than body requirements related to inadequate intake, vomiting

2. Imbalanced Nutrition: Less Than Body Requirements related to decreased nutrition intake.

3. Activity Intolerance related to physical weakness.

4. Deficient Knowledge: about diseases related to lack of information.

5. Acute Pain related to an increase in stomach acid.


Nursing Care Plan for Gastritis : Nursing Interventions for Gastritis


1. Risk for Imbalanced Fluid Volume and Electrolytes : less than body requirements related to inadequate intake, vomiting

Goal:
Disorders of fluid balance did not occur.

Expected results:
Moist mucous membranes, good skin turgor, electrolytes returned to normal, capillary filling pink, vital signs stable, the balance of input and output.


Nursing Intervention :

Assess signs and symptoms of dehydration, observation of vital signs, measuring intake and output, encourage clients to drink ± 1500-2500ml, observation of skin and mucous membranes, collaboration with doctor in the provision of intravenous fluids.


2. Imbalanced Nutrition: Less than Body Requirements: less than body requirements related to inadequate intake, anorexia

Goal:
Nutritional deficiencies resolved.

Expected results:
Normal albumin value, no nausea and vomiting, weight within normal limits, normal bowel sounds.


Nursing Intervention :

Assess food intake, body weight measured regularly, give oral care on a regular basis, encourage clients to eat little but often, give food in warm, auscultation bowel sounds, assess food preferences, check the laboratory, for example: Hemoglobin, hematocrit, albumin.

Source : http://nursinginterventions-diagnosis.blogspot.com/2011/05/nursing-care-plan-for-gastritis.html
 

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