UGIB Case Study Essay
As always, an assessment of airway, breathing, and circulation is the topmost priority. Protection of the airway with intubation may be needed to avoid respiratory compromise from potential aspiration of blood and gastric contents, especially in patients with active bleeding and altered mental status (6). All patients who present with signs and symptoms of UGIB should be evaluated immediately for hemodynamic stability and managed accordingly by rapid intravascular volume replacement with isotonic crystalloid fluids (7). It has been demonstrated that early and aggressive resuscitation reduces mortality in UGIB (8). After initial hemodynamic resuscitation patient risk stratification based on clinical, laboratory and endoscopic features is recommended by the International Consensus Upper Gastrointestinal Bleeding Conference Group (1). Prognostic scales such as Blatchford and Rockall scores are recommended for early stratification of patients into low and high-risk categories for rebleeding and mortality. The Glasgow …show more content…
Recommended timing is based on patient risk factors and resuming warfarin between 7 to 15 days is comparatively safe and effective (26). Aspirin for primary cardiac prophylaxis should be withheld and cardiology consultation is recommended to reevaluate the risks and benefits of restarting aspirin. Discontinuation of low dose aspirin significantly increases risk of death and acute cardiovascular events (27). Aspirin for secondary cardiac prophylaxis should be withheld for 3 days after endoscopy for those with high risk of rebleeding and immediately resumed along with PPI for those with low risk of rebleeding (7, 28). The need for NSAIDs should be carefully evaluated in patients with NSAID associated bleeding ulcers. Those who need NSAIDs, a COX-2 selective NSAID like celecoxib is recommended at the lowest effective dose along with a PPI
Ccib Case Study
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890 Words | 4 PagesTherapeutic responses: decreased bleeding tendencies, decreased PT, decreased clotting time. Teach patient/ family Not to take other supplements unless directed by prescriber. The necessary foods for diet. To avoid IM inj, use soft tooth-brush, do not floss, use electronic razor until coagulating defects corrected.
Urgent Quick Request Case Study
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Unit 3 Assignment 1: A Case Study
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I M Looking Over Case Study
506 Words | 3 PagesPart I – “I’m Looking Over...” Exercise 1- Minnesota has an average monthly temperature range of between −19.4° and 28.6° C. It has very hot summers, sometimes going as high as 45.6° C, and extremely cold winters, the temperature can go as low as −51° C. Minnesota has a lot of days with freezing temperature (154), and hardly any days with warm weather (14). Minnesota also gets an average of 66-76 cm of precipitation yearly, and has a small population of herbivores, which are not present during the winter. On the other hand, North Carolina has an average monthly temperature range of between −2.6° to 31.3° C. The summers are very hot (high is 43.3° C), while the winters are pretty cold (low is −37° C), but these weather conditions aren’t as sever as Minnesota’s.
Annette Nursing Case
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Case Study Dupuis
101 Words | 1 PagesR/s on 03/27/16, Ms. Dupuis was brought into the ER unresponsive and covered in feces and urine. R/s on 04/08/16, Ms. Dupuis was locked in the home and covered in feces and urine. R/s home health agency reported that Ms. Dupuis is found soiled in feces and urine. ALLEGATIONS: R/s Lynn Dupuis recently had a stroke and is not able to take care of herself.
Simplified Acute Physiology Score Analysis
472 Words | 2 PagesThe EWS is easy and simple to use at the bedside, which may help in recognizing patients with potential for acute deterioration.[7] The Early Warning Score predicts the need for hospital admission and in-hospital mortality in European hospitals.[8] In surgical setting, EWS is used to detect patients requiring emergency surgery. also, postoperative EWS was used in predicting mortality.[9] The Modified Early Warning Score (MEWS) was validated in UK in 2001 as a bedside tool to identify patients at risk of critical events including death. It is based on five variables (systolic blood pressure, heart rate, respiratory rate, temperature, and neurological status).[10]
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Rideu Case Study Essay
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513 Words | 3 PagesHowever, Angioedema can happen even after years of taking. During that time, Enalapril needs to be stopped immediately. (Tindall et al, 2014). PT is instructed to monitor blood pressure three times per day
GTU: A Case Study
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Case Study Fresh To Table
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