Bleeding Esophageal Varices Flashcards
1
Q
High BP in the liver (portal HTN) forces what type of circulation to form?
A
Collateral
2
Q
Where does collateral circulation form?
A
3 places:
- stomach
- esophagus
- rectum
3
Q
When you see an alcoholic client that is GI bleeding it is usually what?
A
esophageal varices
4
Q
When are esophageal varies usually no problem until?
A
It ruptures
will vomit bright red blood
5
Q
What is treatment?
A
- Replace blood
- Monitor VS
- Monitor CVP
- Oxygen (anemia)
- Octreocide
- Endoscopic sclerotherapy
- Esophageal vatical ligation
- Ballon tamponade
- Enemas (rid blood)
- Lactulose (decrease ammonia)
- Saline lavage to get blood out of stomach
6
Q
What does octreocide do?
A
Lowers bp in liver
7
Q
What is a Sengstaken-Blakemore Tube?
A
-Type of ballon tamponade tube
8
Q
When is ballon tamponade used?
A
Emergency to stabilize clients with severe hemorrhage
9
Q
Should ballon tamponade be used for more than 12 hours?
A
No
10
Q
What is purpose of balloon tamponade?
A
To hold pressure on bleeding varices
