Gastrointestinal prophylaxis in critically ill patients

Crit Care Nurs Q. 2008 Oct-Dec;31(4):291-301. doi: 10.1097/01.CNQ.0000336814.04548.ec.

Abstract

Physiologic stress associated with illness and hospitalization is known to result in gastrointestinal ulceration, especially among the critically ill. The complication of this stress-related mucosal disease could be prevented with appropriate application of pharmacologic prophylaxis. Vigilance by the nursing staff is required to properly detect and manage the condition.

Publication types

  • Review

MeSH terms

  • Antacids / therapeutic use
  • Anti-Ulcer Agents / classification
  • Anti-Ulcer Agents / pharmacology
  • Anti-Ulcer Agents / therapeutic use*
  • Critical Care / methods*
  • Critical Illness / therapy
  • Early Diagnosis
  • Enteral Nutrition
  • Histamine H2 Antagonists / therapeutic use
  • Humans
  • Nurse's Role
  • Nursing Assessment
  • Peptic Ulcer / epidemiology
  • Peptic Ulcer / etiology
  • Peptic Ulcer / prevention & control*
  • Premedication / methods*
  • Premedication / nursing
  • Prevalence
  • Primary Prevention / methods*
  • Proton Pump Inhibitors / therapeutic use
  • Risk Factors
  • Stress, Physiological / physiology*
  • Sucralfate / therapeutic use
  • Time Factors

Substances

  • Antacids
  • Anti-Ulcer Agents
  • Histamine H2 Antagonists
  • Proton Pump Inhibitors
  • Sucralfate