Nursing Intervention for Peptic Ulcer

A peptic ulcer, also known as PUD or peptic ulcer disease, is the most common ulcer of an area of the gastrointestinal tract that is usually acidic and thus extremely painful. It is defined as mucosal erosions equal to or greater than 0.5 cm. As many as 70–90% of such ulcers are associated with Helicobacter pylori, a spiral-shaped bacterium that lives in the acidic environment of the stomach; however, only 40% of those cases go to a doctor. Ulcers can also be caused or worsened by drugs such as aspirin, Plavix (clopidogrel), ibuprofen, and other NSAIDs.


Nursing Diagnosis for Peptic Ulcer

Acute Pain related to mucosal irritation and muscle spasm.


  1. Give drug therapy in accordance with the program :
    R /: Inhibit the release of gastric acid
  2. Advise to avoid the drugs are sold freely especially those containing salicylates.
    R /: Medications containing salicylates may irritate the gastric mucosa.
  3. Encourage clients to avoid foods / drinks that irritate the gastric mucosa: caffeine and alcohol.
    R /: It can stimulate the secretion of hydrochloric acid.
  4. Encourage clients to use food and snacks at regular intervals.
    R /: a regular meal schedule helps retain food particles in the stomach that helps neutralize the acidity of gastric secretion.
  5. Instruct the patient to quit smoking
    R /: Smoking can stimulate ulcer recurrence.