University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2022
Views:

181

Pages:

1
Author:

Maverick Haynes

System disorder temp GI bleed ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _ _________________ Ga__s_t_r_o_i_n_t_e__s_ti_n__a_l__B__l_e_e_d________________________________ REVIEW MODULE CHAPTER___________ DISORDER/DISEASE PROCESS ___ Alterations in Health (Diagnosis) Pt. may have hematemisis, and/or melena Pathophysiology Related to Client Problem Ulcer, perstaltic disorders, tumors, eso. varices Health Promotion and Disease Prevention Promote change in quantity and quality of diet ASSESSMENT SAFETY CONSIDERATIONS Risk Factors H. pylori infection, NSAIDs, aspirin, SSRI, anticoagulants, ulcers, diverticulosis Laboratory Tests Guaiac test Expected Findings Hematemasis, melena, anemia, abdominal cramping, dizzines, feeling tired Diagnostic Procedures Endoscopy for upper GI bleed and colonoscopy for lower GI bleed PATIENT-CENTERED CARE Nursing Care Monitor the pt. closely for signs and symptoms of GI bleed Therapeutic Procedures IV fluids, medication alteration, diet alterations, PPI, blood products Eat smaller meals more frequently during the day, avoid or limit caffeine and spicy foods Anemia Complications Medications Protom pump inhibitor, H2 antagonist, antacids Client Education Limit or do not take NSAIDs. Do not drink alcohol. Manage GI conditions as prescribed Interprofessional Care Gastroenterology, critical care, general surgery, intraventional radiology The presentation of bleeding depends on the amount and location of hemorrhage. A person with an upper gastrointestinal bleeding may also present with complications of anemia, including chest pain and synscope ACTIVE LEARNING TEMPLATES 1/1