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

2020
Views:

442

Pages:

1
Author:

Edgar Rowe

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME _____________________________________ Gastrointestinal Bleed DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pt may have hematemisis, and or melena Pathophysiology Related to Client Problem Ulcer, peristaltic disorders, tumours, eso. varices Health Promotion and Disease Prevention Promote change in quantitiy and quality of diet ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings H. Pylori infection, NSAIDs, aspirin, SSRI, anticoagulants, ulcers, diverticulosis, Laboratory Tests Guiac test. Hematemasis, melena, anemia, abdominal cramping, dizziness, 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 ACTIVE LEARNING TEMPLATES Eat smaller meals more frequently during the day, avoid or limit caffeine and spicy foods. Anemia. Complications Medications Proton 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, Interventional radioogy 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 syncope. THERAPEUTIC PROCEDURE A11