Nursing case study gi bleed -

Management of Acute GI Bleeding in Patients Who Refuse Blood or

Answer 2. Based upon your knowledge of the vomiting reflex, why might severe vomiting tear the mucosa? Enter your answer here. Answer, second Hospitalization, at age 36, Vincent was hospitalized again, this time with complaints of abdominal pain in the upper epigastric region (i.e.

In the area of the lower esophageal sphincter - caused by repeated vomiting.\ questions : 1. Why was the blood bright red, rather than the color of "coffee grounds"? Enter your answer here. Does this additional information help explain why Vincent developed esophageal varices? Explain your answer. Enter your answer here. Answer 4. Why is bleeding particularly dangerous for Vincent? Enter your answer here. Not knowing anything about him, you open up his past medical records, which, incidentally, are quite thick. You note that Vincent was hospitalized at age 32 with a complaint of vomiting up blood after a drinking binge that lasted seven days and was marked by excessive and repeated vomiting episodes.

Just below the xiphoid process of the sternum) and "coffee-grounds" emesis. He also complained of "heartburn" (a burning sensation in the area of the sternum) which was partially relieved with antacids. He lost his driver's license for drunk-driving, and his drinking has placed a considerable strain on his marriage. He has tried several self-help programs as well as Alcoholic's Anonymous, all with little success. A diagnosis of "alcohol-induced hepatitis" is listed in the chart. Questions : 1. Is the diagnosis consistent with the location of the abdominal pain? Explain your answer. Enter your answer here. History: Vincent, miller, a 62-year-old accountant, has had a "drinking problem" throughout most of his adult life. He drinks about a half-case of beer each day. He has lost several jobs over the years for drinking at the workplace or showing up for work drunk.