RCullen Concept Map GIBleed 05032021 Gastrointestinal Bleed PDF

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Summary

Assignment for PN2- concept map of GI Bleed...

Description

Student’s Name Medications – List medications applicable to Medical Diagnosis. Proton Pump Inhibitors (pantoprazole). Ceftriaxone (for cirrhotic), Octreotide (for UGIB), Erythromycin, Ranitidine (zantac)

Pathophysiology GI bleeding is not a disease, but a symptom of a disease. There are many possible causes of GI bleeding, including hemorrhoids, peptic ulcers, tears or inflammation in the esophagus, diverticulosis and diverticulitis, ulcerative colitis and Crohn's disease, colonic polyps, or cancer in the colon, stomach, or esophagus.

Rasmussen College Concept Map Clinical Manifestations Subjective: headache, body aches, abdominal pain, weak, lightheaded, dizzy Objective: fever, tachycardic, restless, grimace, hypotensive, pale

Date Nursing Diagnosis Fluid volume deficit related to blood volume loss secondary to GI bleed AEB hematemesis, skin pallor, hypotension, lightheadedness. Goal: Pt. will have an absence of bleeding, an Hgb level over 13, BP in normal range, alert, and oriented, and normal skin color within 48 hours. Nursing Diagnosis Acute pain related to abdominal muscle spasms secondary bleeding ulcers AEB 10 out of 10 pain score. Goal: The patient will demonstrate pain relief with a 0 out of 10 pain score within 2 hours.

Medical Diagnosis GI Bleed Patient Data 36-year-old female with hx of Crohn’s disease and intermittent gastritis. Ileostomy 6 mos. ago, takes infliximab every 8 weeks.

Diagnostic Data

Medical Interventions

Colonoscopy, endoscopy, CT angiogram, GI bleed scan, lab values for blood- CBC, aPTT, PT/INR

Medications- PPI (proton pump inhibitor) Fluid replacements, blood transfusion, discontinue any blood thinning medications, surgery if necessary, to remove polyps or to cauterize an after area that is bleeding.

Nursing Interventions Monitor VS frequently as well as change in pain levels. Make sure patient is not taking NSAIDS or other blood thinning medication. Evaluate lab values frequently. Check urine and stool for blood. Assess skin for bruising, petechiae, hematoma, or oozing of blood. Use a soft bristled toothbrush, use electric razor for shaving, limit straining (bowel movement, coughing, sneezing, etc.)

Patient EducationNeed to adhere to special diet as GI tract heals. Avoid/limit caffeine and spicy foods. Take all meds as directed. Limit/avoid NSAIDS. Avoid alcohol and smoking. Rest oftenincrease activity slowly. Follow up with doctor....