Reference no: EM133523324

Case study

Chandler, a 47-year old male presented to the hospital with mid-epigastric pain, bloating, and nausea 30 to 60 minutes after meals. He also noticed dark coloured stools over the past two days. Chandler works as an accountant in a highly stressful work environment and consumes coffee regularly while at work. He has been taking Ibuprofen for the last three weeks for a sprained ankle and sometimes aspirin for headaches. He drinks 4 to 6 glasses of whisky on weekends.

Chandler was admitted to the hospital. Stool-antigen test and urea breath test were positive for H pylori. Oesophago gas troduodenoscopy confirmed multiple bleeding gastric ulcers.

A nasogastric tube was inserted for 4th hourly aspiration. He was kept nil by mouth for two days with IV fluid therapy. Chandler was given antiemetics, antibiotics and medications to decrease stomach acidity via the intravenous route. The nasogastric tube was removed after two days and Chandler was commenced on a soft diet. IV fluid therapy was stopped on day 3. His condition improved and Chandler was discharged from the hospital after seven days with a referral to a local GP clinic for review every six months.

Give answer to following questions:

1. Provided comprehensive detail discussion about pathophysiology of gastric ulcer and listed all of the contributing factors for the disease condition in Chandler's case? Corelate pathophysiology og gastric ulcer with Mr Chandler's case?

2. Provided comprehensive details about collecting both subjective and objective data as part of gastro intestinal assessment and explained it based on details of Mr Chandler's case study.

3. Listed all classes of medication for reducing stomach acidity and explained the mechanism of action in detail for each of them?

4. Provided comprehensive discussion about nursing management strategies with appropriate rationales for Mr Chandler while admitted in the hospital and briefly outline patient education topics on discharge for Mr chandler?