Bleeding Esophageal Varices Flashcards
High BP in the liver (portal HTN) forces collateral circulation to form. The circulation forms in 3 different places..What are they?
Stomach
Esophagus
Rectum
When you see an alcoholic client that is GI bleeding it is usually esophageal varices. Usually no problem until?
Ruptures
Treatment
Replace
Blood
Treatment
Take __
VS
Treatment
CVP
Decreased
Treatment
Why give O2?
Anytime someone is anemic, oxygen is needed
Treatment
What drug lowers BP in liver?
Octreotide
*this drug causes vasoconstriction in other areas of the body–like the heart (may cause chest pain!)
Treatment
What balloon?
Balloon tamponade
Balloon tamponade
What is this?
Infrequently used in emergency procedure that is used to stabilize clients with severe hemorrhage.
Balloon tamponade
How long to use it?
No more than 12 hours
Balloon tamponade
Purpose?
Hold pressure on bleeding varices
Balloon tamponade
Example?
Sengstaken-Blakemore tube
Treatment
Why give cleansing enema?
To get rid of blood
Treatment
Why give lactulose?
To decrease ammonia
Treatment
Saline lavage to get blood out of ___
Stomach
