Nursing Management Nursing Assessment Subjective Data Important Health Information Past health history: Precipitating events before bleeding episode Previous bleeding episodes and treatment Peptic ulcer disease

Interprofessional Care Endoscopic hemostasis therapy First-line therapy of upper GI bleed Goal: to coagulate or thrombose the bleeding vessel Useful for gastritis, Mallory-Weiss tear, esophageal

Diagnostic Studies Endoscopy Primary tool for diagnosing source of upper GI bleeding Before performing Lavage may be needed for clearer view NG or orogastric tube

Upper Gastrointestinal Bleeding Each year, 300,000 hospital admissions for UGI bleeding Approximately 60% of patients are older than 65 years Mortality rate has been 6%

Nursing planning Overall Goals Modify eating patterns Participate in a regular physical activity program Achieve and maintain weight loss to a specified level Minimize or

Nursing and Interprofessional management: Obesity Nursing Assessment Subjective Data Important Health information First rule out physical conditions that may be causing or contributing to obesity

https://cbsloc.al/3nNcrOY DALLAS (CBSDFW.COM) – Those who run coronavirus testing locations say they are being overwhelmed as people prepare to gather for the holidays. Doctors said they’re

Chronic heart failure Clinical manifestation Dependent on age, underlying type and extent of heart disease, and which ventricle is affected FACES Fatigue Limitation of Activities

Acute Decompensated Heart Failure Clinical manifestation ADHF Sudden onset of signs and symptoms of HF Requires urgent medical care Pulmonary and systemic congestion due to

Compensatory mechanism Renin-Angiotensin-Aldosterone-System (RAAS) Neurohormonal response – RAAS Endothelin release (contractility) Cytokine release (Hypertrophy) Inadequate stroke volume and CO –  (Epi and NoreEpi) Ventricular remodeling

Pathophysiology Systolic heart failure HFrEF – HF with reduced EF Inability to pump blood forward Caused by Impaired contractile function Increased afterload Cardiomyopathy Mechanical abnormalities

Gender differences Men Men experience systolic failure more frequently than women. Men with asymptomatic systolic failure experience greater mortality benefit from ACE inhibitor therapy than