LE

PREDIS

PRECIP

SIGNS

MEDIC

NURS

DISE

MEDICA

DIAG
 Precipitating Factor:
Predisposing Factor: - Omeprazole (40 mg)
- Hypertension
- 88 y/o - Metoprolol (100 mg)
- Upper Gastrointestinal Bleeding
- Male - Amvasc (5 mg)
- Chronic Kidney Disease (Stage V)

Chronic Kidney Disease

Inflammation

release of inflammatory cytokines (IL-

1, IL-6, TNF-a)
EGENDS:

POSING FACTORS
↓ Erythropoietin IL stimulates liver to ↓ bone marrow
(EPO) production and produce hepcidin response to
ITATING FACTORS release from kidneys erythropoietin (EPO)

AND SYMPTOMS hepcidin inhibits iron-transporter proteins

on macrophages and enterocytes

CAL DIAGNOSIS
↓ release of iron from
↓ absorption of iron
macrophage stores
SING DIAGNOSIS from the gut
(reticuloendothelial system)

EASE PROCESS
↓ heme synthesis CBC

MEDICATION

↓ erythropoiesis (RBC synthesis) less RBCs emerge from bone ↓ hemoglobin (Hg - Blood Transfusion
AL INTERVENTION in the bone marrow marrow into peripheral blood 86) {135-170 for men} (2 PRBC)

GNOSTIC TOOL
ANEMIA ↓ transport of oxygen to
Fatigue Fatigu
{Hemoglobin} 140 g/L(♂), <120 g/L(♀) tissues, including brain and
Weakness he
(symptoms start around <70-90 g/L) ↓ metabolic function
{Hematocrit} <0.37 (♀), <0.40 (♂)

Acute pain

Blood loss coming from the Note: We came up with the nursing diagn
higher up in the intestinal tract  acute pain because according to the S/O
patient, his hand was swelling because h
down at their house due to his weakness

Tarry Stool

Note: Tarry stool is also one of sign and

symptoms of UGIB due to bleeding in
e r/t decreased
emoglobin

nosis of
of the
e fell
.
the upper part of the GI (gastrointestinal)