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BSN 315 HESI remediation GI drugs.
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BSN 315 HESI remediation GI drugs.
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BSN 315 HESIremediation GI
drugs(questions and
answers)
A 60-year-old man is admitted to the emergency
department (ED) with a report of vomiting bright
red blood. He has had liver cirrhosis for the past 10
years and states that he has been drinking heavily
since his wife died last year. His blood pressure is
106/68, and his pulse rate is 94. His abdomen is
distended, and he is having some difficulty
breathing; his respirations are 34 per minute. You
are assigned to care for this patient.
1. What complications is this patient at risk for and
why? What causes these complications?
Because of his heavy drinking, this patient is at
risk for bleeding esophageal varices. Variceal
bleeding can occur spontaneously with no
precipitating factors. However, any activity that
increases abdominal pressure may increase the
likelihood of a variceal bleed, including heavy
lifting or vigorous physical exercise. In addition,
chest trauma or dry, hard food in the esophagus
can cause bleeding.
, A 60-year-old man is admitted to the emergency
department (ED) with a report of vomiting bright
red blood. He has had liver cirrhosis for the past 10
years and states that he has been drinking heavily
since his wife died last year. His blood pressure is
106/68, and his pulse rate is 94. His abdomen is
distended, and he is having some difficulty
breathing; his respirations are 34 per minute. You
are assigned to care for this patient.
2. What position will you place the patient in and
why? What evidence supports your answer? Why
do you think he has tachypnea?
Raise the head of the bed to high-Fowler's position
to protect the patient's airway. Evidence can be
found in credible databases such as CINAHL. He
has tachypnea as a result of hemorrhage, which
may be exacerbated by anxiety.
A 60-year-old man is admitted to the emergency
department (ED) with a report of vomiting bright
red blood. He has had liver cirrhosis for the past 10
years and states that he has been drinking heavily
since his wife died last year. His blood pressure is
106/68, and his pulse rate is 94. His abdomen is
distended, and he is having some difficulty
breathing; his respirations are 34 per minute. You
are assigned to care for this patient.
3. The physician suspects that he has bleeding
gastroesophageal varices. What laboratory tests
will he likely request and why?
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