NR 576 Week 6 Assignment; h.pylori Management Plan

NR 576 Week 6 – h.pylori : Management Plan Gastroenterologist consult – for further evaluation of the effectiveness of prescribed therapy, and determination of whether bacteria is eradicated, and the ulcer is healing. EGD might be repeated to evaluate the healing progress of ulcer (Malik et al., 2023). Client education Stop taking Ibuprofen, take Acetaminophen instead for chronic knee pain - NSAIDs are identified as the second leading cause of PUD. According to Kamada et al. (2021), when NSAIDs are withdrawn, there is a higher rate of gastric and duodenal ulcer healing. Take the full course of antibiotics as prescribed for maximum effectiveness and reduced chances of resistance to antibiotics. Smoking and alcohol reduction or cessation -smoking plays a role in the formation of duodenal ulcers, and alcohol induces acidity causing further irritation of the gastric mucosa (Malik et al., 2023). Recurrence is not uncommon, and continued NSAID use can increase the chances of new ulcers or poor healing, however, good hygiene, and avoiding alcohol, NSAIDs, and smoking may prevent recurrence (Malik et al., 2023). Avoid spicy foods and caffeine that can further irritate the ulcer and delay healing. Follow-up, including time interval and specific symptomatology to prompt a sooner return Notify provider if you experience lightheadedness, dizziness, nausea, vomiting, or increasing abdominal pain. Follow-up in 4-6 weeks after completion of therapy for urea breath test. Call 911 if you develop chest pain, shortness of breath, sharp stomach pain, or rigid or tender abdomen, this could be signs of serious complications.