Acute upper gastrointestinal bleeding: a guide for nurses.
This article outlines latest evidence-based care for patients with acute upper gastrointestinal (GI) bleeding. It aims to help gastroenterology and general medical ward nurses plan nursing interventions and understand the diagnostic treatment options available. Acute upper GI bleeding can present as...
| Publicado en: | British Journal of Nursing Vol. 28; no. 1; pp. 53 - 60 |
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| Autores principales: | , , , , , , |
| Formato: | review tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
1/1/2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134021012&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134021012 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660461 GHD jtl: British Journal of Nursing issn: 09660461 maglogo: N pubinfo: dt: 1/1/2019 vid: 28 iid: 1 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 134021012 134021012 134021012 10.12968/bjon.2019.28.1.53 134021012 ppf: 53 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acute upper gastrointestinal bleeding: a guide for nurses. aug: au: Chapman, Warren Siau, Keith Thomas, Fiona Ernest, Selvajothi Begum, Shriya Iqbal, Tariq Bhala, Neeraj affil: Advanced Clinical Practitioner (Endoscopist), Department of Gastroenterology, Queen Elizabeth Hospital, Birmingham sug: subj: Acute Disease Gastrointestinal Hemorrhage Therapy Nursing Interventions Nurses Peptic Ulcer Therapy Gastrointestinal Hemorrhage Pathology Gastrointestinal Hemorrhage Mortality Endoscopy, Gastrointestinal Methods Resuscitation Intubation, Gastrointestinal Equipment and Supplies Stents Gastrointestinal Hemorrhage Surgery Proton Pump Inhibitors Helicobacter Pylori Hemoglobins After Care Patient Compliance Monitoring, Physiologic Patient History Taking Gastrointestinal Hemorrhage Prognosis SBAR Technique Hemostasis, Endoscopic Documentation Embolization, Therapeutic Computed Tomography Angiography Portasystemic Shunt, Surgical Blood Transfusion Health Education Nursing Role ab: This article outlines latest evidence-based care for patients with acute upper gastrointestinal (GI) bleeding. It aims to help gastroenterology and general medical ward nurses plan nursing interventions and understand the diagnostic treatment options available. Acute upper GI bleeding can present as variceal or non-variceal bleeding and has a high death rate. Endoscopy is used for diagnosis and to provide therapy, prior to which the patient should be adequately resuscitated and assessed. Various therapies can be initiated at endoscopy, depending on the source of bleeding. If bleeding continues in spite of these therapies, further interventions such as the Sengstaken tube, oesophageal stents, radiological or surgical treatments may be required. After endoscopy, it is important to have a plan for ongoing treatment. Patients may require acid suppression treatment or eradication of Helicobacter pylori as part of their treatment plan. They may in additional require correction of their haemoglobin levels and follow-up endoscopy. It is essential that nurses caring for such patients are aware of the current UK guidance and help patients to adhere to agreed treatment plans. pubtype: Academic Journal doctype: review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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