Other
Nur 114 System Disorder GI Bleed
- Course
- NUR 114
- Institution
- Fayetteville Technical Community College
This is a comprehensive and detailed ATI System Disorder GI Bleed for Nur 114.
[Show more]
Content preview
ACTIVE LEARNING TEMPLATE: System DisorderKelly Gonzalez
STUDENT NAME _____________________________________
Gastrointestinal Bleed
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
*altered/impaired gastric outflow *impaired gastric elimination *quit smoking, decrease alcohol intake,
*risk of impaired oxygenation resulting in blood loss, due to the healthy diet/exercise, avoid
erosion/ulceration of the GI mucosa NSAIDS/corticosteroid as ordered,
*risk of dehydration manage stress
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings *Monitor for
*chronic NSAID or corticosteroid use, infectous *abdominal discomfort/pain, dyspepsia orthostatic changes in
agents (H. pylori infection), family hx, pancreas constipation/diarrhea, nausea/vomiting, vital signs and
tumors/adhesions/fibrosis, excess alcohol hematisis, melena, low BP, high HR, tachycardia, (findings
consumption, andavced age, smoking, obesity, cramping, bloating, hyper/hypoactive bowels,
highly acidic foods, stress (anxiety/depression),
suggest
dizziness, confusion, wt loss, hernia GI bleeding or
(protrusion or lump), hematochezia perforation.
*monitor increased
risk of infection
Laboratory Tests Diagnostic Procedures *monitor adequate
oxygenation
*occult blood in stool sample *radiography, EGD, upper *Monitor for s/s of
*CBC/CMP: low H&H, low RBC and endoscopy, hydrogen breath test perforation (pain,
platelets bleeding, fever)
*ABGs indicate metabolic imbalance
*C13 urea breath test
PATIENT-CENTERED CARE Complications
*FVD/hypovolemia
Nursing Care Medications Client Education *metabolic
*Decrease environmental stimuli *Antacids (aluminum *avoid foods that cause alkalosis/acidosis
*Encourage rest breaks distress/restrict acid-producing foods
*monitor VS, I/O, CBC, CMP, pain or Mg+ hydroxide) *anemia (s/s: pallor,
*Keep client NPO until return of gag reflex *PPIs (Pantoprazole, *smoking cessation and avoiding
*insert NG tube for gastric decompression alcohol consumption glossitis, fatigue,
esomeprazole, *Notify the provider of coffee-ground and paresthesias)
omeprazole) emesis *obstruction (pyloric,
*stool softener *NPO 6-8 hr prior to EGD gastric outlet)
*Histamine2-receptor
antagonists *dumping syndrome
(Famotidine, (post gastrectomy sx)
Therapeutic Procedures cimetidine, and Interprofessional Care *perforation (s/s:
nizatidine) abdominal
*intermittent suctioning: NG *mucosal protectants *nutrition consult tenderness/rigidity)
tube w vent *antibiotic
*Prostaglandins *sugical intervention
*epinephrine or *supportive care
laser coagulation tx for areas
of bleeding (EGD determines
effectiveness)
ACTIVE LEARNING TEMPLATES
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
66475 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now