Medications for Peptic Ulcer Disease (PUD): In a Nutshell (Nursing)

by Prof. Lawes

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    00:00 Okay, so peptic ulcer disease are these open sores that develop on your stomach lining or in your small intestine.

    00:06 So they can be in your stomach or your duodenals, so you'll see that duodenal ulcers.

    00:12 They can lead to perforation and GI bleed in the worse case scenario.

    00:17 Most common causes of peptic ulcer disease are H.Pylori - that nasty bug that can hide.

    00:22 NSAIDS (Non Steroidal Anti Inflammatory Drugs), exposure to gastric acid and smoking or alcohol.

    00:31 Antibiotics, H2 receptor antagonists, PPI's, mucosal protectants and antacids are full complete treatment plan for peptic ulcer disease.

    00:42 So let's not fly by that too quickly.

    00:44 When you're thinking through those medications, I want you to ask yourself, "Why?" So, why would somebody with peptic ulcer disease be on antibiotics? How many antibiotics should they be on? Remember we want them on a minimum of two antibiotics.

    01:02 See if you can list at least two antibiotics that we studied in this video presentation.

    01:09 Why would a patient be on H2 receptor antagonists? Because they'll help suppress gastric acid secretion.

    01:18 Why would a patient with peptic ulcer disease be on PPI's? Well because they're the best at suppressing gastric acid but remember they come with a few really scary risk factors.

    01:32 Why would someone with peptic ulcer disease be on mucosal protectants? Because that will actually protect and coat that sore in the stomach lining.

    01:44 Why would a patient with peptic ulcer disease be on antacids? Because that will help neutralize gastric acid in the moment.

    01:54 Look at all of those meds that we used and I wanna be sure that you have a complete list in your head.

    02:00 That will help you be focused in knowing what we use to treat peptic ulcer disease in a complete way.

    02:06 Now there is a breath test for H. Pylori and if we had a pick from those three options, I am sure we'd rather take a breath test than the serum or the biopsy option.

    02:16 PPI's have the most serious list of possible side effects.

    02:21 Everything from fractures, pneumonia to developing C. diff.

    02:25 Remember patients with chronic kidney disease are extremely at risk and even if your patient doesn't have chronic kidney disease, it may develop if they take PPI's for a long period of time.

    02:36 Also can pose a risk for gastric cancer.

    02:39 And when you do stop at PPI, you can have this horrible rebound acid secretion which can make a big problem for your patient.

    02:47 So you'll have to come up with some type of alternate treatment plan as the patient is weaning off with PPI's.

    02:53 Than you for watching our video today on Peptic Ulcer Disease.

    About the Lecture

    The lecture Medications for Peptic Ulcer Disease (PUD): In a Nutshell (Nursing) by Prof. Lawes is from the course Gastrointestinal Medications (Nursing).

    Included Quiz Questions

    1. H2 receptor antagonists
    2. Antibiotics
    3. Proton pump inhibitors
    4. Mucosal protectants
    5. Probiotics
    1. Proton pump inhibitors
    2. Antacids
    3. Antibiotics
    4. H2 receptor antagonists

    Author of lecture Medications for Peptic Ulcer Disease (PUD): In a Nutshell (Nursing)

     Prof. Lawes

    Prof. Lawes

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