CASE STUDY

GASTRITIS
By: Wendie Do
November 30, 2017
 PATIENTS INFORMATION
O.C., 68-year-old Hispanic female present to the hospital with intractable
nausea and vomiting over the past several weeks. Patient has tried various
prescriptions of protonix and antiemetic without resolution of symptoms.
Patient symptoms are worse with intake. She also has a fever. Complaints
of upper abdominal pain and diffuse headaches.
History of: Hypertensive disorder, arthritis, high cholesterol, diabetes mellitus type
2, hypothyroidism, obesity

Diagnosis: Gastritis, pneumonia, kidney stones

 PATHOPHYSIOLOGY
Gastritis is the inflammation of the lining of the stomach.
Gastritis may occur because of consumption of alcohol, aspirin, nonsteroidal anti-inflammatory
drugs (NSAIDs) or irritating substances.
It may also occur due to viral, bacterial or autoimmune illnesses. Prominent causes of acute
gastritis are by excess intake of alcohol and tobacco and over use of NSAIDs
Chronic is caused by H. pylori, recurrent episodes of acute gastritis (Copstead & Banasik, 2013).
s/s: intractable nausea and vomiting, abdominal pain, low blood count

Hemoglobin:11.4 g/dl Potassium: 3.0 low

hematocrit is 34.3 %
Platelet: 92,000 per cubic millimeter

Doctor performed an esophagogastroduodenoscopy (EGD) on the patient to examine the

lining of her esophagus, stomach, and duodenum.
Results: erosion and inflammation of stomach lining
Gastric Biopsy to test for H. pylori- still awaiting results
 PATIENT TEACHING
Teach patient the importance of limiting or avoiding alcohol consumption.
Alcohol can make gastritis worse because it can irritate the stomach lining

Teach patient about foods that causes irritation to the stomach. Foods such as
oranges and salsa can cause burning or pain. Eat a variety of healthy foods.
Examples include fruits (not citrus), vegetables, low-fat dairy products, beans,
whole-grain breads, and lean meats and fish. Try to eat small meals, and drink
water with his/her meal

Teach patient to avoid taking NSAIDs or aspirin unless directed. These and similar
medications can cause irritation to the stomach lining
 EVIDENCED BASED RESEARCH
Researchers said the reason for damage of the mucosal lining is because
NSAIDs moieties are chemically composed of carboxylic functional groups
(Peesa, Yalavarthi, Rasheed, & Mandava, 2016).

The FICA Spiritual History Tool is developed for health profession to use as an
assessment tool for patients spiritual needs (Puchalski, 2014).

F: Faith I: Importance C: Community A: Apply/Address in care

 REFERENCES
Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: An evidence-based
guide to planning care (10th ed.). Maryland Heights, MO: Mosby.
Copstead, L. C., & Banasik, J. L. (2013). Pathophysiology (5th ed.). St. Louis, MO:
Elsevier.
Peesa J, Yalavarthi P, Rasheed A, Mandava V. Review article: A perspective review on
role of novel NSAID prodrugs in the management of acute
inflammation. Journal of Acute Disease [serial online]. July 23, 2016; Available
from: ScienceDirect, Ipswich, MA. Accessed November 6, 2016.
Puchalski, C. M. (2014). The FICA Spiritual History Tool #274. Journal of Palliative
Medicine, 17(1), 105-106. doi:10.1089/jpm.2013.9458