Stress ulceration

Stress ulceration is a potentially life-threatening complication of critical illness. It is unlikely to occur in patients who are receiving enteral nutrition via a nasogastric tube or eating normally. Therefore, for most patients presenting with acute weakness, it is probably only necessary to consider stress ulcer prophylaxis in the very early stages of the acute illness. Antacids may be used to maintain a gastric pH above 3.5. This is effective in reducing the incidence of gastrointestinal haemorrhage but, depending on the agent used, may result in either diarrhea or constipation. In view of the immobility of most of these patients, neither of these complications is desirable. H2 receptor antagonists may be administered either orally or intravenously to maintain gastric pH above 3.5. There is some evidence that use of these agents, by raising gastric pH, may allow Gram-negative organisms to flourish in the stomach with transmission up into the oropharynx and down into the lungs, causing a secondary pneumonia. Sulcralfate may be administered either orally or nasogastrically and forms a protective coating over inflamed areas of mucosa. It is probably associated with a lower incidence of secondary pneumonias than is the case with agents which alter gastric pH.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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