About
Inflammation of the stomach.
Assess
Nausea, vomiting, abdomen pain, increased pain after eating fatty meals, heartburn, anorexia
Complications
Gastrointestinal bleeding- Monitor stools, test for occult blood, monitor for coffee-ground emesis, assess vs. May need an NG tube and/or transfusion if actively bleeding, thus notify physician.
Diagnosis
- Fluid volume deficit r/t gastrointestinal losses
- Pain related to abdominal spasms and increased peristalsis
Goals
- The client will state a decrease in pain using a 0-10 visual analogue scale.
- The client will be able to state three ways to reduce episodes of abdomen discomfort and upset.
Interventions
- Assess and monitor bowel sounds, intake and output, alleviating factors, use of NSAIDS, daily alcohol consumption, exacerbating factors, stress levels.
- Monitor pain levels on a 0-10 visual analogue scale.
- Monitor for signs and symptoms of gastrointestinal bleeding.
- Administer fluids to promote and maintain hydration.
- Restrict food intake to non-spicy, non-irritating foods.
- Maintain NPO if surgical intervention anticipated.
- Administer medications ( H2 antagonists, proton pump inhibitors, antacids, analgesics, etc) as prescribed by a health care professional.
- Teach client signs and symptoms to return to health care provider for.
- Teach client techniques to reduce stress and anxiety.
- Teach client dietary considerations that may decrease stomach upset ( bland, non-spicy diet).
- Teach client about medication therapy.
- Assess client's understanding of treatment and interventions.
- Monitor for signs and symptoms of complications, specifically for evidence of gastrointestinal bleeding ( tachycardia, blood in stool, bloody vomit, hypotension, etc)
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