GI Bleeding Study Guide PDF

GI bleeding Study online at https://quizlet.com/_c9r59r - ligament of treitz What is the ideal placement for a feeding tube and why...

GI bleeding Study online at https://quizlet.com/_c9r59r - ligament of treitz What is the ideal placement for a feeding tube and why - separates upper GI from lower GI - peptic ulcer disease ** - mallory weiss tear 5 causes of Upper GI bleed, which is most common - erosive esophagitis, gastritis, duodenitis - tumors - vascular abnormalities - h. pylori - NSAIDs 5 predisposing factors for peptic ulcer disease - stress ulcers - gastric acid and pepsin - alcohol/ smoking - ruptured diverticulum 3 causes of lower GI bleed, which is the most common - weak areas - bleeding - hematemesis: vomiting blood, may be bright red or coffee 2 signs of upper GI bleeding grounds - melena: dark tarry stool sign of lower GI bleed bright red streaks in stool Bowel sounds in upper GI bleed hyperactive bowel sound in lower GI bleed normoactive - hypovolemia - decreased hgb/ hct - need for blood transfusion GI bleed s/s associated with worse outcomes - decreased clotting abilities - bright red blood - old age - comorbidities (lung/kidney/liver disease) - amount of blood loss 3 things hemodynamic status can indicate - suddenness of blood loss - cardiac and vascular compensation - hypotension/ orthostatic hypotension - narrowed pulse pressure - tachycardia - EKG changes 9 things to assessment for hemodynamic stability - chest pain - capillary refill - skin - urine output - mental status Why should BUN/ creat be assessed in GI bleed MAP [blank] - polyethylene glycol What 2 bowel preps can be used for an EGD or colonoscopy - metoclopramide (reglan) (increase GI motility) 1/2  GI bleeding Study online at https://quizlet.com/_c9r59r increase gastric emptying so the blood isn't just sitting in the Why would erythromycin be given for upper GI bleed stomach - sclerose 3 injection therapies to stop GI bleed - vasoconstriction - tamponade - fluid overload When giving blood replacement it is important to watch for [blank] - decrease O2 stat and 3 s/s are... - crackles - tachycardia 2/2