Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
what is considered Upper GI bleeding?
|
anything above the ligament of trietz
|
|
|
if a patient is vomiting, what is the priority?
|
protect the airway
|
|
|
what is the best way to stabilize a patient with fluids?
|
two large caliber IVs (preferably 18 gague)
|
|
|
what is crucial in any unstable patient due to GI bleeds?
|
a rectal exam
|
|
|
what volume loss will have little to no symptoms and what volume loss may precipitate shock?
|
500 & 2000
|
|
|
what will constitute a chronic GI bleed?
|
weakness/lethargy
heme + stool decreasing iron |
|
|
what is the standard for a patient with a GI bleed?
|
1st endoscopy
2nd interventional radiology last surgery |
|
|
what medication should acute upper GI bleeders receive?
|
IV PPI (protonix) to decrease short and long term bleeding and increase healing
helps to create hemostasis by bringing pH to 7.4 |
|
|
when should you do an endoscopy for an acute upper GI bleed?
|
12-24 hours
|
|
|
what is the ideal pH for hemostasis?
|
7.4
|
|
|
what is a mallory weiss tear and what will is usually present with?
|
tear in the mucus membrane
presents with prolonged wretching majority will stop bleeding spontaneously but should still be investigated |
|
|
what is variceal bleeding usually due to and what will it require?
|
due to cirrhosis
flouroquinolones will decrease short term mortality |
|
|
what is hematochezia?
|
passage of bright red or maroon stool per rectum
|
|
|
what is the most common cause of bleeding from the colon?
|
diverticulum
|
|
|
what is the second most common cause of bleeding from the colon?
|
angiodysplasia
|
|
|
what is angiodysplasia?
|
dilated tortuous submucosal vessels
|
|
|
when should angiography be done for a GI bleed?
|
after the gastroenteroligist has seen the patient and determined the patient is a poor surgical candidate, or has rebleeding or severe bleeding
|
|
|
when should surgery be considered? (3)
|
after interventional radiography
torrential bleeding (>6 units of blood) transfusion >6 units or a resucitative event |
|
|
what are 2 other drugs that can be given for an upper GI bleed?
|
ocreotide or vasopressin
|
