ASSESSMENT DIAGNOSIS PLAN INTERVENTION RATIONALE EVALUATION

OBJECTIVE: Upper SHORT TERM: INDEPENDENT  to monitor if there is After 8 hours of

 Black gastrointestinal  Controlling  monitor any decrease in blood nursing
tarry bleeding as and stopping hemoglobin count and needs intervention, the
stool manifested by of the blood transfusion goal was partially
 Small black tarry bleeding  in case the patient is met.
amount stool with  vital signs  monitor blood low in blood, the
s of presence of back to pressure and nurse should
blood in blood. baseline heart rate administer blood
stool  normal blood  administer blood transfusion
counts such as products  to acknowledge if the
hemoglobin  assess bleeding in patient’s bleeding has
stool worsened or improved
 other factors in vital
 monitor vital signs signs can be affected
and I & O due to the UGIB such
as heart rate and BP

DEPENDENT:
 check the doctor’s
order for
medication to
treat UGIB