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Gastrointestinal Bleeding Essay

762 words - 4 pages

1. What factors increase this patient’s risk for GI bleed?
According to Sole, Klein, and Moseley (2013), the factors that increase this patient’s risk for GI bleed are alcoholism, smoking, excessively use of NSAIDs, and infection of helicobacter pylori.
2. What are the differences between an upper and lower GI bleed?
There are many differences between an upper GI and lower GI bleed including causes and physical presentation. For upper GI bleeding, the causes are a duodenal and gastric ulcer, gastric varices, and Mallory-Weiss tear (Sole, Klein, & Moseley, 2013). The causes of lower GI bleeding include cancer, hemorrhoids, polyps, an inflammatory disorder, diverticulosis, and ...view middle of the document...

Before administer the blood to the patient, the nurse needs to make sure to verify the doctor’s order, explain the purpose of the therapy to the patient, check the compatibility of the blood with the patient, have another the nurse or the doctor to check the label (blood type, expiration date, serial number, Rh factor, blood component, and screening test, patient’s identification), and assess the patient’s vital signs. During the infusion, it is important for the nurse to stay at the patient’s bedside to obtain the temperature for 15 to 30 minutes, frequently check the patient’s vital signs and assess for an adverse effect of the transfusion. Most important, there is no other solution that mixing with blood transfusion except 0.9% normal saline which administers before, during, and after the blood transfusion (Vera, 2013).
5. What should the nurse consider when giving a morphine IV push?
The nurse needs to consider about the patient’s vital signs such as blood pressure, heart rate, and respiration rate with morphine IV push (Sole, Klein, & Moseley, 2013). Another consideration is to infusion slowly and administers fluid as indicate.
6. What are the nursing implications associated with the administration of IV pantoprazole?
After the administration of IV pantoprazole, the nurse needs to assess for renal function, allergy such as skin reaction, and signs and symptoms of angioedema (Sole, Klein, & Moseley, 2013)....

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