Upper GI Bleeds (Study guide)

Question 1

causes of an Upper Gi Bleed

Answer 1

• Drugs (aspirin, NSAIDS- ibu, CORTICOSTEROIDS)
• esophageal varices
• stomach/duodenum ulcers/cancer
• systemic diseases like leukemia

Question 2

Signs of an upper GI bleed

Answer 2

• hematemesis (vomiting of blood)
• melena
• hard abdomen
• soft BS
• could have signs of shock.

Question 3

How is Upper GI Bleeds DX

Answer 3

endoscopy

Question 4

How is Upper GI Bleeds DX

Answer 4

endoscopy

-if cant do endoscopy then they need to do angiography

Question 5

how to treat an Upper Gi Bleed

Answer 5

• check vital signs to make sure they are not in shock (decreased bP, Increased HR and RR)
• IV for fluid replacement to increase vascular volume
• packed RBC or fresh frozen plasma
• saline solution
• measure urine output (greatest way to determine organ function)
• surgery depending on time, amount, size

Question 6

standards for administration of blood products (PRBC, platelets, FFP). What are you monitoring for while administering blood products?

Answer 6

• Type and screen within 72 hours of giving the blood
  
  • vitals before, 5 min in, and 15 min in, every hour, and when it is done
  • pt identifiers
  • consent
  • allergies
  • transfusion reactions in the past
  • double identifiers
  • date that blood expires
  • check blood bag in general
  • monitor for vitals to change