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NCP Pud

The patient presented with acute pain rated 7/10 due to infection with Helicobacter pylori bacteria, which caused inflammation of the stomach lining and predisposed the patient to peptic ulcer disease. Nursing interventions included administering medications to treat the infection and reduce acid production, encouraging relaxation techniques, monitoring the patient's response, and educating on proper medication use. After 45 minutes, the patient reported reduced pain of 2/10 with relaxed facial expressions and body language.

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Solsona Natl HS Maananteng
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326 views3 pages

NCP Pud

The patient presented with acute pain rated 7/10 due to infection with Helicobacter pylori bacteria, which caused inflammation of the stomach lining and predisposed the patient to peptic ulcer disease. Nursing interventions included administering medications to treat the infection and reduce acid production, encouraging relaxation techniques, monitoring the patient's response, and educating on proper medication use. After 45 minutes, the patient reported reduced pain of 2/10 with relaxed facial expressions and body language.

Uploaded by

Solsona Natl HS Maananteng
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Nursing Diagnosis:

Acute Pain related biological injury agent (infection with Helicobacter pylori (H. pylori)
bacteria), secondary to PUD as manifested by self-report of burning pain as scored 7/10, that is
temporarily relieved by food. Accompanied by guarding behavior over the epigastric region of the
stomach; grimaced facial expression, and teary eyes. As the patient verbalized “nagapges buksit
kon.”

Nursing Inference:

The H. pylori bacteria that adhered and colonized in the mucus layer of the digestive tract,
caused the increased gastric acid production and secretion in the stomach. Consequently,
predisposes inflammation (irritation), within the protective lining of the stomach, to which pain is
elicited.

Nursing Outcome:

After continuous rendering of the nursing interventions for 30 to 60 minutes, the client shall
report reduction of pain, as scored 2/10 - 3/10 and as evidenced by absence of grimmaced facial
expression and guarding behavior with a verbalization of “Haan unay nasakit buksit kon ma’am”
Nursing Interventions

To assist client to explore methods for alleviation / control of pain

Intervention Rationale
Administer Clarithromycin 500mg PO BID, as To eradicate H. pylori, which is the underlying
ordered cause of the pain
Have the patient to assume proper and To help ease tension and promote sense of
comfortable position control, thus reducing pain.
Reinforce quiet environment To keep the patient calm and relaxed.

Provide diversional activities such as listening to To refocuses his attention, away from the pain
music or watching television and thus promote relaxation which may
improve coping abilities.
Encourage relaxation techniques To enhance sense of control and reduce pain.
Encourage adequate rest periods. To minimize stimulation and promote
relaxation.
Administer Omeprazole 40mg IV OD in AM, as To decrease the amount of acid in the stomach
ordered and treat the secondary cause of the pain
Administer, Rebamipide 1 tab TID after meal as To reinforce mucosal protection and heal the
ordered PUD which is secondary cause of the pain
Ask client to re-rate his acute pain 30 mins to To asses effectiveness of treatment to client
an hour after administering prescribed
analgesics
Monitor compliance to medications To potentiate effects of drugs and to detect
any issues that may require healthcare or
professional medical support early on.
Monitor the vital signs of the client. To make sure that there are no signs of fluid
overload or any drug interactions and for
baseline information.
Provide more analgesics at To promote pain relief and comfort w/o risk of
recommended/prescribed interval overdose
Educate the patient and significant others To establish realistic expectations; to notify the
about the possible side effects or adverse physician for immediate action and to prevent
effects of the prescribed medications and further complication.
report accordingly.

Nursing Evaluation:
After continuous rendering of the nursing interventions for 45 minutes, the client was able
to report reduction of pain, as scored 2/10 and as evidenced by absence of grimmaced facial
expression and guarding behavior, with a verbalization of “Haan unay nasakit buksit kon ma’am”

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