Nursing Care of Patients with Upper Gastro Intestinal Bleeding : 2 Case Study

Abstract

Upper gastrointestinal bleeding(UGIB) is a potentially life-threatening abdominal emergency that remains a common cause of hospitalization. UGIB is defined as bleeding derived from a source proximal to the ligament of Treitz. Endoscopy is the primary diagnostic investigation in patients with acute upper gastrointestinal bleeding to stop the amount of blood transfusions and allows treatments to be delivered that can stop bleeding and reduce the risk of re-bleeding.is recommended.

Comparative case study : Two UGIBleeding patientspresented with hematemesis and melena stools were admitted in the hospital.  One of themwas diagnosed asAcute duodenal ulcer bleeding while the other one was diagnosed ulcer at posterior lesser curvature with active bleed fail scerotherapy.The importantfor life risk problems were hypovolemic shock and cardiac arrest.The hemodynamic stability and cardiac resuscitation have been done before getting the surgerywith Laparotomy Explore Duodenostomy Suture with Pyloroplasty stop bleeding for first case and Explore Laparotomywith Gastrotomy with suture stop bleeding for the second case.Respiratory failurewas the major problem issue after operation and respiratory ventilator were needed.There were 11 problems for care of patientswith bleeding in the digestive tractonusing the concept of the health plan and11conventions of theGordonapproach. The result of this study showed that the effective nursing care to evaluation and interventionof hemodynamic stability and resuscitation, pain management, wound care, respirator care, rehabilitation,and health education in order to improve clinical problem, increase mortality and morbidityin the period of the crisisuntil the phase distribution of the convalescent phase.After it has been taken care of by medical and nursing care that patients in both did not cause complications after surgery and can divorce respirator. Patients and families were able to return home.