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When do you feed a patient with gastrointestinal bleeding?
Despite a lack of evidence, patients are often not fed for 4896 h after upper gastrointestinal bleeding (UGIB); however, many trials have demonstrated the benefits of early nutrition (EN).
What is the nursing priority in the management of patients with active upper GI bleeding?
Rapid assessment and management of airway, breathing and circulation is the initial priority. Once the patient is stabilized, the goal is to assess the severity of the bleed, identify the potential source, and determine if there are underlying conditions that may affect the management.
How do you treat non-variceal upper gastrointestinal bleeding?
1.4. 1 For the endoscopic treatment of non-variceal upper gastrointestinal bleeding, use adrenaline injection combined with one of the following: a mechanical method (such as clips) thermal coagulation fibrin or thrombin.
How do you treat non variceal upper GI bleeding?
Epinephrine injection should be administered with a second endoscopic haemostatic therapy, such as endoscopic clips, thermocoagulation (with bipolar electrocoagulation or heater probe) or sclerosing injection (absolute alcohol, polidocanol or ethanolamine), thrombin injection or tissue adhesive injection.
How can you tell the difference between variceal and non-variceal bleeding?
The variceal bleeding group had low blood pressure, platelet
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When should a patient with a nonvariceal upper gastrointestinal bleed be fed?
Approximately 50% of patients are classified as low risk for rebleeding and can be safely fed immediately and discharged early, even on the same day as endoscopy. Only the patients with a high risk of rebleeding should be kept nil per os and be hospitalized for at least 72 hours after endoscopic treatment.
What is the clinical presentation of upper GI bleeding?
Gastrointestinal manifestations of upper GI bleeding include hematemesis, coffee-ground emesis, hematochezia, or melena. Patients may also experience systemic symptoms such as syncope, fatigue, palpitations, exertional dyspnea, or weakness.
Related links
UMEM Educational Pearls - University of Maryland School of
Jul 22, 2018 International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med. 2010;152
Non-variceal Upper Gastrointestinal Bleeding and Its
by RD Wasserman 2024 Cited by 2 Intravenous proton pump inhibitors are the mainstay in the initial management of upper GI bleeding from a non-variceal etiology.
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