Nursing care of a patient with gastric ulcer and shock who received abdominal surgery : Case Study.

Abstract

      This study was case study focuses on examining shock-afflicted patients undergoing abdominal surgery for gastric perforation. The research encompassed a single Myanmar male patient admitted to the Emergency Room at Bang Saphan Hospital, diagnosed Gastric ulcer perforation with shock and treated with an exploratory laparotomy and simple suture reinforced with an omental graft from January 6 to January 12, 2025, a period of six days. Data were gathered from inpatient records, patient and relative interviews, and post-discharge symptom follow-ups.

      The study revealed that a 32 yearold Myanmar male presented at the hospital with acute generalized abdominal pain, history of Gastric ulcer, including daily painkillers and alcohol regulrly. Initial examination showed abdominal tenderness and guarding, with CT Whole Abdomen revealing Free air and fluid located anterior abdomen. The patient was treated with abdominal surgery, intravenous fluids and antibiotics, showing significant improvement and hospital discharge after six days.