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Cutting the vagus nerve
Removing the distal portion of the stomach
Removal of the ulcer and a large portion of the cells that produce hydrochloric acid
An incision and resuturing of the pylorus to relax the muscle and enlarge the opening from the stomach to the duodenum.
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Monitoring gastric pH to detect complications
Assessing for bowel sounds
Providing nutritional support
Monitoring for symptoms of hemorrhage
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“The cimetidine (Tagamet) will cause me to produce less stomach acid.”
“Sucralfate (Carafate) will change the fluid in my stomach.”
“Antacids will coat my stomach.”
“Omeprazole (Prilosec) will coat the ulcer and help it heal.”
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Upper quadrant and radiates to the left scapula and shoulder
Upper quadrant and radiates to the right scapula and shoulder
Lower quadrant and radiates to the umbilicus
Lower quadrant and radiates to the back
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Abdominal CT scan
Abdominal ultrasound
Barium swallow
Endoscopy
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Blood replacement
Antacid administration
Nasogastric tube suction
Fluid and electrolyte replacement
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Periumbilical ecchymosis exists
On deep palpation and release. pain in elicited
On deep inspiration. pain is elicited and breathing stops
Abdominal muscles are tightened in anticipation of palpation
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To inhibit mucus production
To neutralize acid production
To stimulate mucus production
To stimulate hydrogen ion diffusion back into the mucosa
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Eat a low-protein diet
Eat a low-fat. low-cholesterol diet
Limit exercise to 10 minutes/day
Keep weight proportionate to height
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