Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Nursing diagnosis for gastritis: • Pain related to gastric mucosa irritation • Altered nutrition with less than body requirements related to nausea, vomiting, and less intake • Fluid volume deficit related to vomiting and inability to absorb fluids • Anxiety related to the diagnosis • Knowledge deficit related to the condition, dietary modifications, and treatment plan Nursing interventions for gastritis: • Assess for pain frequently and provide non-irritating analgesics; avoid ibuprofen and aspirin • Assess for signs of GI bleed frequently: severe pain, hematemesis, tachycardia, and hypotension (this is a medical emergency) • Keep patient NPO until acute symptoms resolve and then advance to bland diet; teach patient to avoid spicy or greasy foods; teach patients to avoid smoking and alcohol • Give IV fluids per MD order to prevent dehydration • Give medications per MD order: o Bismuth o Antibiotics (tetracycline and amoxicillin) for H. Pylori infections • Keep the room calm and quiet and provide non-pharmacologic pain relief • Monitor intake and output and weigh patient daily • Teach patient to watch for symptoms of reoccurrence and when to call theMD • Patient teaching on lifestyle modification, diet modification, and importance of following-up with MD • Provide emotional support and assist with calming anxiety regarding disease process, testing, and treatment Expected outcomes for gastritis: • Patient maintains compliance with NPO status and dietary modifications • Patient verbalizes increased comfort and pain relief • Maintains adequate nutrition, fluid, and electrolyte balance • Maintains stable weight • Patient demonstrates decreased anxiety levels • Verbalizes understanding of disease process, treatment plan, and lifestyle modifications

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