Gi bleed - Study guides, Class notes & Summaries

GI Bleed/Hypovolemic Shock RAPID Reasoning; Jim Olson/a 45-year-old male with a history of cirrhosis and ETOH abuse/100% Correct Jim Olson is a 45-year-old male with a history of cirrhosis and ETOH abuse who has not had any medical care the last ten years. He began vomiting large amounts of bright red blood when he woke up this morning. He was found on the floor of the bathroom by Sheila, his girlfriend, when he became lightheaded and fell on the floor and was too weak to get up. Sheila called ...

Benzodiazepine- Midazolam - Correct Answer-Uses: Conscious sedation S/E: Dizzy Adverse reactions/ Toxicity: Respiratory depression PT teaching: Safety Contraindications: Cardiopulmonary disease Non- Benzodiazepine- zolpidem tartrate - Correct Answer-Uses: Insomnia S/E: Dizziness, Drowsiness, Behavioral changes Adverse reactions/ Toxicity: Complex sleep behavior Local Anesthetic- Lidocaine - Correct Answer-Uses: Minor procedure S/E: Confusion, drowsiness, stinging, bradycardia Nursing c...

I RN MEDSURG 2022/2023 PROCTORED EXAM- LATEST 100% CORRECT STUDY GUIDE.Q$A WITH RATIONALES. ATI MED SURG PROCTORED EXAM 2019 RETAKE WITH NGN Questions and Answers (Verified Answers)GRADED A 1.A nurse is assessing a client who is 12hr postoperative following a colon resection. Which of the following findings should the nurse report to the surgeon? 1. Heart rate 90/min 2. Absent bowel sounds → normal findings after major bowel surgery; takes several days to return to normal. 3. Hgb 8.2 g/dl 4. G...

Progressive Care RN A Exam (2023/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A Q: You walk into your patient's room and notice that the chest tube collection chamber has been knocked over on the floor. There appears to be drainage dispersed throughout the chambers. What should you do NEXT? Answer: Replace the chamber with a new one Q: Your patient is complaining of nausea, vomiting, and diarrhea. His blood pressure is 89/55, heart rate is 122 bpm, and the t...

Progressive Care RN A v1 Exam 2024 Which of the following medications is MOST commonly indicated for patients with CHF? -Answer-Ace inhibitors A patient was involved in a motor vehicle accident and CAT scan results reveal a right sided SDH. What would be an expected neurological assessment finding in this patient? -Answer-Dilated right pupil What is the most common symptom of SIADH? -Answer-Fluid retention Upon arrival to the unit, you receive report on four PCU patients. Which patient sh...

The patient, V.C., is a 78-year-old female experiencing an upper gastrointestinal bleed. This occurred due to her overuse of NSAIDs to manage her orthopedic pain. Additionally, she was taking an SSRI to manage depression since the recent loss of her husband. NSAIDs, such as ibuprofen or aspirin, are often associated with gastrointestinal perforation, ulceration, and bleeding. SSRIs, such as sertraline or fluoxetine, are also known to contribute to upper gastrointestinal bleeding. Using this ...

Primary manifestations of SRMD GI bleeding Cushing Ulcers Stress ulcers that occur as a result of TBI or brain surgery Upper GI bleed any source of bleeding which occurs in the esophagus, stomach or the duodenum. Upper GI bleed is characterized by... frank, bright red or "coffee ground" emesis Upper GI bleed causes bleeding varices (varicose veins) in the esophagus or stomach peptic ulcers gastritis Mallory-Weiss tear (tearing of the esophagus from the stoma...

what is a bowel perforation? Correct Answer-hole in the GI tract wall what causes a bowel perforation? Correct Answer-peptic ulcer disease EGD/Colonoscopy Diverticulitis IBS What are S/S of a bowel perforation? Correct Answer-severe, sudden epigastric pain tender, rigid abdomen rebound tenderness what happens to the VS with a bowel perforation? Correct Answer-tachycardia, weak pulse tachypnea, shallow RR Signs of shock (Hypotension, tachycardia, fever) what is the treatment fo...

Fluoxetine (prozac) SATA - Weight gain, suicidal tendencies, aspirin- GI bleed Clonazepam (benzo) Further education is needed if patient states what? SATA - Cannot stop taking abruptly, safe because there are no side effects, Don't need to worry about taking OTC medications with it Clonazepam- Which lab test would you want to monitor? - CBC & LFT Implement for dying patients (SATA) - Allowing patients to voice their fears, can get them on good pain program so they are not in pain while dy...

Clonazepam (Klonopin) - Answer-PRN, Labs: CBC, LFT's, No alcohol allowed, rhinitis common Buspirone (Buspar) - Answer-Taken daily, non-benzo, antianxiety med, low sedation and addiction, common S/E: Dizziness, Insomnia, Nervousness Fluoxetine (Prozac) - Answer-SSRI, sustained release- do not open capsule, used for OCD, S/E: Changes in wt, no aspirin could lead to GI bleed, dizziness and drowsiness. Takes 4 wks to work SSRI - Answer-Used for Bulimia..... no antidepressants given for anorexi...