A 50-year-old man presented to the emergency department after vomiting bright red blood twice in the past 6 hours. He admits to drinking alcohol last weekend and is supposed to be taking medication for his stomach but can't recall the name. On examination, he appears pale and anxious with abdominal pain, prolonged capillary refill, tachycardia, and elevated blood pressure. The physician orders an NG tube insertion with saline lavage to treat the patient's apparent gastrointestinal bleeding.
A 50-year-old man presented to the emergency department after vomiting bright red blood twice in the past 6 hours. He admits to drinking alcohol last weekend and is supposed to be taking medication for his stomach but can't recall the name. On examination, he appears pale and anxious with abdominal pain, prolonged capillary refill, tachycardia, and elevated blood pressure. The physician orders an NG tube insertion with saline lavage to treat the patient's apparent gastrointestinal bleeding.
A 50-year-old man presented to the emergency department after vomiting bright red blood twice in the past 6 hours. He admits to drinking alcohol last weekend and is supposed to be taking medication for his stomach but can't recall the name. On examination, he appears pale and anxious with abdominal pain, prolonged capillary refill, tachycardia, and elevated blood pressure. The physician orders an NG tube insertion with saline lavage to treat the patient's apparent gastrointestinal bleeding.
Mr. S, a 50-year-old man, has driven himself to the emergency
department (ED) after vomiting bright red blood twice within 6 hours. He arrives alert and oriented × 3 but appears anxious. He is able to provide only a vague history but admits to drinking “a few” last weekend. He knows that he is “supposed to stop drinking” and takes “something for his stomach,” but he cannot recall the name of the medication. He reports intermittent dizziness and fatigue that has been worsening over the past 2 days. His skin is dry and pale. His abdomen is slightly distended. He reports pain (4 on a scale of 10) in the mid epigastric area. Capillary refill is longer than 3 seconds, blood pressure is 140/90 mm Hg, pulse rate is 110 beats/min, respiratory rate is 24 breaths/min, and temperature is 99° F (37.2° C). QUESTIONS: 1. What would be the possible priority nursing diagnosis of this client? (Give 3 and its intervention) 2. Give the possible appropriate action in the care of this patient (minimum of 5 and maximum of 10) 3. The physician orders an NG tube insertion with saline lavage. Please give the correct sequence of this procedure 4. Give simple pathophysiology of this gastrointestinal bleeding Please: computerized your answer and pass it on my table Note: pass the printed SDL on Friday including(sld 1,2,3) in a folder PLEASE PUT A TITLE IN EVERY SDL.(GIVEN) AND PUT A DATE WHEN THIS SDL GIVEN.(FRIDAY MORNING LATE MINUS 5)