Gastritis is an inflammation of the lining of the stomach, and has many possible causes. The main acute causes are excessive alcohol consumption or prolonged use of nonsteroidal anti-inflammatory drugs (also known as NSAIDs) such as aspirin or ibuprofen. Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Gastritis may also occur in those who have had weight loss surgery resulting in the banding or reconstruction of the digestive tract. Chronic causes are infection with bacteria, primarily Helicobacter pylori, chronic bile reflux, stress and certain autoimmune disorders can cause gastritis as well. The most common symptom is abdominal upset or pain. Other symptoms are indigestion, abdominal bloating, nausea, and vomiting and pernicious anemia. Some may have a feeling of fullness or burning in the upper abdomen. A gastroscopy, blood test, complete blood count test, or a stool test may be used to diagnose gastritis. Treatment includes taking antacids or other medicines, such as proton pump inhibitors or antibiotics, and avoiding hot or spicy foods. For those with pernicious anemia, B12 injections are given.
Nursing Diagnosis for Gastritis : Risk for Fluid Volume Deficit
Objectives:
- Risk for Fluid Volume Deficit does not happen.
Expected outcomes are:
- mucous membranes moist,
- good skin turgor,
- electrolytes returned to normal,
- pink capillary refill,
- stable vital signs,
- input and output balance.
- assess signs and symptoms of dehydration,
- observation of vital signs,
- measuring intake and output
- encourage clients to drink about 1500-2500ml,
- observation of skin and mucous membranes,
- collaboration with physicians in the delivery of intravenous fluids.
