REPORT INTRODUCTION gastritis REPORT INTRODUCTION A.

definition Merupakn Gastritis is inflammation of the gastric mucosa of acute, chronic, or local diffusion. (patofisologi: 378) Gastritis is inflammation of gastric mucosa, as occurred due to reckless diid, eating too much or too fast or eating foods that are spicy or containing mikroorgnisme cause of the disease, in addition to other causes include alcohol, aspiration, bile reflux, radiation therapy (KMB & vol 2 : 1062) B. kinds of Gastritis Gastritis can be divided into two: A. acute gastritis Gastric mucosa in response to the bright dismping local irritant that gastritis is a type of clinical abnormalities caused by acute jalas typical signs and symptoms and are usually benign and can be cured 2. chronic Gastriris An old type of stomach inflammation, ulcers can be caused by benign or malignant if stomach helycobacter type of gastritis is characterized by atrophy of the glands epiltel proregsi accompanied by loss of parietal cells and chief cells (pathophysiology: 376) C. etiology A. acute gastritis a. Bacterial endotoxin, in after eating contaminated b. caffeine c. alcohol d. aspiration e. Drugs f. Berbunbu eating vinegar, pepper, etc. 2. chronic Gastriris Caused by benign or malignant ulcer if the hull of H. piloty D. Clinical Manefestasi A. acute gastritis Urelasi supefisial can menimbulakn hemorogi, abdominal discomfort (with headaches, lazy, nausea, and anorexia) and hiccups may occur Mutah and some patients are asymptomatic colic and diarrhea can occur when food pengiritasi not vomited, but reach the colon, patients usually cured in a day even though appetite may be decreased for 2-3 days 2. chronic Gastriris E. complication A. acute gastritis Upper gastrointestinal bleeding and melena can be hetomesis barakhir as a shock hemoragie 2. chronic Gastriris

Upper gastrointestinal bleeding, ulcers, and anemia because they perferasi vitamin B12 absorption disorders (Suddarth and burner: 1062) F. examination Support A. Endoscopy, especially gastroduodenoskopi. Examination results will be found a picture mucosa swollen, red, bleed easily or have spontaneous bleeding, mucosal erosion are varied. 2. Histopathology. 3. With double contrast radiology, although sometimes done but not so to give satisfactory results. G. management A. Avoiding alcohol, caffeine, nicotine, and continued eating until reduced diet that does not irritate, if the symptoms persist needed intravenous fluids. If there is persistent bleeding symptoms similar to the treatment of gastrointestinal tract hemorrhage 2. When gastritis bekaan by digesting dilute acid or strong alkali or acid by administering antacids netralakn. When severe caloric avoid dangerous emetic and lavase because of perforation 3. Chronic gastritis modification of diet, rest, stress reduction, the bacteria H. Pilory can be treated with antibiotics. Eg, tetracycline or amoxilin or eating spicy food is not too soft or cold, disordered eating little but often. (Suddarth and burner: 1062)

Type A is usually asymptomatic except for symptoms of the definition of B12 separately. B gastritis in patients complaining of anorexia, pain after eating belching uluhati, Resa bitter in the mouth or nausea and Mutah. NURSING CARE CONCEPTS A. Assessment A. Identity Age: The disease can strike gastritis in adults and children Types Kelemin: Usually suffered by men and women Love / Religion: Occurs on a vegetarian culture adherents, especially in chronic gastritis Tope A Education: low education may affect a person's lifestyle. Job: low income may affect the fulfillment of someone or something family nutrition. 2. Main complaints Symptoms are due to gastritis as heartburn, Maul, vomiting, anorexia, body felt weak. 3. Disease History Now Complaints that makes the patient was taken to Rs. The clinical manifestations of abdominal discomfort, lazy, nausea, Mutah, anorexia. 4. Previous Disease History Assess whether the client is no abdominal pain, Maul, before vomiting.

5. Family history of disease Gastritis is not a hereditary disease, but gastritis can be caused by poor lifestyle such as smoking, alcohol. 6. Physical examination a. Respiratory System Gastritis accompanied by tachycardia it as a compensation by the body because of the pain b. Circulation system Ganggua circulation does not occur, need to be assessed by a decrease in TD because inadequate nutrition that lasts a long time. c. Respiratory system Consciousness was observed in the form of komposmetis, apathy, samnolen, bahakan to coma in chronic gastritis d. Digestive System Occur anorexia, nausea, vomiting, which caused bb down and abdominal pain occur e. Elimination system Defecation disorders occur because of inadequate input f. Muskuluskeletal and Integumentary System Usually in acute gastritis able to do an activity and not, decreased muscle strength, but the chronic gastritis that can be left so, but it also contained mucosal dry lips, decreased skin from dehydration tugor g. Ego integrity Egoitas a balance needs to be assessed individually, due to increased stress can stimulate the production of HCL B. Nursing Diagnosis and Intervention 1) Pain b / d gastric mucosal irritation Criteria of the results: - Kx said the pain was reduced by missing - Kx shows the relaxed posture - Kx able to sleep / istiraha comfortably Intervention A. Provide a description of the patient and family about the cause of pain and the actions to be taken. R / patients and families can understand the cause of the pain and the actions to be taken 2. Instructions to avoid eating too much and spicy R / Miningkatkan gastric secretion that irritates the gastric mucosa 3. Assess the factors that can increase and decrease pain. R / assist in the diagnosis and therapy 4. Teach the patient to act distraction or relaxation

R / diversion of attention to pain 5. Create an atmosphere terapiutik R / DAPT patient resting comfortably 6. Collaboration with physicians in the delivery of drugs and antacids anal gesik R / analgesic to relieve pain and reduce peristaltic activity. Antacids reduce the acidity of the absorption lamnbung 2) The risk of lack of fluid volume b / d fluid intake and lack of effectiveness of excessive fluid loss from vomiting Criteria of the results: fluid balance is maintained Free from that show signs of dehydration Intervention A. Monitor input and kaluaran every day against dehydration R / know the intake and output 2. Assess the value alaktrolit every 24 hours to determine the fluid imbalance R / know the amount of fluid required 3. Kaji TTV R / hypotension, tachycardia, fever dpat showed a response to the effects of fluid loss 4. Observation of mucous membranes, decreased skin tugor and slow capillary refill R / shows excess fluid to fluid loss or dehydration 5. Collaboration with physicians for antiemetic drug administration R / is used to control nausea and vomiting 3) Impaired nutritional needs than the needs of b / d of inadequate nutrition patients Expected outcomes are: - Free from signs of malnutrition - Maintaining weight loss Intervention A. Weigh the body each day berab R / provide information on diet or therapy needs 2. Give eat little but often R / decrease stimulation of peristalsis so that patients do not Mutah 3. Provide regular and frequent oral care R / mouth of the net increase of appetite 4. Avoid alcohol and smoking R / nicotine inhibits gastric acid in deudeenum penatralisasian 5. Avoid caffeine drinks R / caffeine increases the activity of the stomach and secretion prepsin 6. Add a vitamin that can dissolve R / increase in stomach prevents rapid absorption and discharge b12, reduce gastric absorption of calcium