GI Unit Content Topics

Peptic ulcer disease

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