This is the most common cause of upper GI bleeding. To assess for signs of a GI bleed, the nurse observes the patients stool and vomit for signs of blood. He arrives on the unit alert and oriented X 3 but appears anxious. In order to determine what kind of nursing intervention a patient with GI bleeding needs, the nurse needs to gather information about the GI bleed. This includes your esophagus, stomach, intestines, rectum, or anus. Black, tarry stools may indicate an upper gastrointestinal bleed or may simply be from the ingestion of iron supplements or over the counter medications for gastrointestinal upset (Shaw, 2012). Our members represent more than 60 professional nursing specialties. Mr. S, a 50 year old man, has been admitted to the Medical Surgical unit with a diagnosis of GI Bleed. Ulcerative colitis is an inflammatory bowel disease that can cause GI bleeding. Upper GI bleeds will come out as dark black tarry stools and lower GI bleeds will come out as bright red bleeding. Colon polyps. Your bleeding may begin suddenly, or start slowly and last for a longer period of time. Welcome to your NCLEX practice questions quiz and reviewer for gastrointestinal disorders. Ms. Lieberman has had one unit of packed RBC’s and a portion of the 2 nd unit. allnurses is a Nursing Career & Support site. Diverticular disease. I ceased the 2 nd unit due to what I suspect to be a transfusion reaction. She’s a 36-year-old patient who has been admitted from the ED earlier today for a GI bleed. Frank bleeding: bright red blood (also called “frank bleeding”) is a sign that bleeding is occurring RIGHT NOW and can be from the upper or lower GI tract. In the lower GI tract, this could be due to diverticulosis, anal fissures, hemorrhoids, inflammatory bowel … In this nursing test bank, test your competence on the diseases that affect the digestive system, biliary system, and more.The aim of this exam is to provide a better understanding of the importance of providing patients with appropriate care following gastrointestinal procedures … CHIEF COMPLAINT: "I'm passing black stool" and lightheadedness - 3 days. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Bleeding that lasts for a longer period of time is called chronic GI bleeding. Since 1997, allnurses is trusted by nurses around the globe. He drove himself to the Emergency Department (ED) after vomiting bright red blood twice within 6 hours. Some types of polyps may be cancerous or can become cancerous. Bleeding along the lining of the Gastrointestinal Tract is hard to recognize because it is not something you can see immediately, or necessarily get imaging or laboratory test work to discover the cause of bleeding right away. Gastrointestinal bleeding can occur either in the upper or lower gastrointestinal tract. Bleeding may be mild to severe. Upper GI bleeding is most commonly diagnosed after your doctor performs an endoscopic examination. CASE 1. You can have more than one colon polyp at a time. Causes can include: Peptic ulcer. Peptic ulcers are sores that develop on the lining of the stomach and upper portion of the small intestine. I’m currently taking care of Ms. Leiberman in rom 5206. GI bleeding may occur in any part of your digestive tract. SBAR for ATI GI Bleed: Situation- Dr. McGuire, this is Esther RN. Colon polyps can cause GI bleeding. It can have a number of causes. Upper GI bleeding. The nurse would also assess the effect of the GI bleed on the patient. HISTORY OF PRESENT ILLNESS: Mr. Murphy is a 45 year old advertising executive who presents to the emergency room complaining of the passage of black stools x 3 days and an associated lightheadedness.He also relates that he cannot keep up with his usual schedule because of … Bright red blood in the stools may indicate hemorrhoids or localized lower gastrointestinal bleeding.
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