A 64-year-old woman was admitted with a GI bleed after vomiting "coffee ground" emesis. The patient has a history of arthritis and reports taking her arthritis medication regularly. A shunt was inserted with guaiac pos. Dge.
A 64-year-old woman was admitted with a GI bleed after vomiting "coffee ground" emesis. The patient has a history of arthritis and reports taking her arthritis medication regularly. A shunt was inserted with guaiac pos. Dge.
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A 64-year-old woman was admitted with a GI bleed after vomiting "coffee ground" emesis. The patient has a history of arthritis and reports taking her arthritis medication regularly. A shunt was inserted with guaiac pos. Dge.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
Gastritis/gastric erosion Endoscopy Sclerotherapy/Ligation GI bleeds Blood Loss Billroth I/Billroth II Discharge teaching Liver disease Liver failure TIPS Shunt Surgery Pancreatitis Pain; Third Spacing GI Rest/TPN/PPN Mrs. G, a 64 yo female, admitted with a GI bleed after vomiting “coffee ground” emesis; NG tube inserted with guaiac pos. dge. Mrs G has a history of arthritis and reports taking her arthritis medication regularly, and says, “ lately, I’ve been taking some Advil too, and it’s helping!” BP 124/60 P 96 lying; 102/60 P 116 standing; T 99.2; R 24; O2 Sat 100%; breath sounds clear to bases; alert and oriented; restless; skin cool and clammy; pulses weak but present x4; hyperactive bowel sounds all 4 quads • Hct 28 • Hgb 8 • ABG’s • WBC 17,000 pH 7.35 • Platelets 100,000 pCO2 32 • K 3.6 pO2 69 • Serum glucose 210 HCO3 22 • BUN 27 • Creatinine 1.2