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Clinical Pathway Non-Variceal Upper GI Bleed - virginia

Clinical Pathway Non-Variceal Upper GI Bleed - virginia 2025

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The document outlines a clinical pathway for managing non-variceal upper gastrointestinal (GI) bleeding within the University of Virginia Health System's Emergency Department. It includes assessment criteria, risk scoring, early endoscopy guidelines, and treatment protocols to ensure appropriate patient care and decision-making regarding admission or discharge. The pathway emphasizes the importance of individualized patient assessment while providing structured guidelines for healthcare professionals.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Admission Risk Score' section. Use the triage or primary RN's assessment to determine the score based on age and vital signs.
Next, complete the 'Stool Color Coding' field using the chip card provided. Ensure you document any relevant findings.
In the 'Scoring' section, calculate and write down the subtotal score based on criteria outlined for admission risk and comorbidities.
Proceed to fill out the 'Post-Endoscopy Score' after procedures are completed, ensuring all diagnoses and classifications are accurately recorded.
Finally, review all sections for completeness and accuracy before saving your work. Utilize our platform’s features to sign and share as needed.

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What is the ACG guideline for upper GI bleed?

For patients hospitalized with upper gastrointestinal bleeding, we suggest red blood cell transfusion at a threshold of 7 g/dL. infusion is suggested before endoscopy, and endoscopy is suggested within 24 hours after presentation.

What causes nonvariceal upper gastrointestinal bleeding?

Causes of UGIB are peptic ulcers, Mallory-Weiss lesions, erosive gastritis, reflux oesophagitis, Dieulafoy lesions or angiodysplasia.

How to differentiate between upper and lower GI bleed clinically?

Upper vs lower Upper GI bleeding includes hemorrhage originating from the esophagus to the ligament of Treitz, at the duodenojejunal flexure[13]. Lower GI bleeding is defined as bleeding that originates from a site distal to the ligament of Treitz[14].

How to differentiate between variceal and nonvariceal bleeding?

The variceal bleeding group had low blood pressure, platelet

What is a non-variceal bleeding?

Non-variceal upper gastrointestinal bleeding (UGIB) is defined as bleeding proximal to the ligament of Treitz in the absence of oesophageal, gastric or duodenal varices. The clinical presentation varies according to the intensity of bleeding from occult bleeding to melena or haematemesis and haemorrhagic shock.

When should a patient with a nonvariceal upper gastrointestinal bleed be fed?

Nonvariceal upper gastrointestinal hemorrhage is a common cause for admission to the intensive care unit. Most patients are prohibited from oral or enteral feeding for 72 hours despite different risks for rebleeding.

How to identify variceal bleeding?

Symptoms of bleeding esophageal varices include: Vomiting large amounts of blood. Black, tarry or bloody stools. Lightheadedness due to blood loss. Loss of consciousness in severe cases.

Clinical Pathway Non-Variceal Upper GI Bleed - virginia 2025

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