Nursing Care of Upper Gastrointestinal Bleeding with Hypovolemic Shock

Abstract

          Upper Gastrointestinal Bleeding is a major emergency symptom in which patients need immediate help. Proper nursing care with rapid diagnosis of bleeding can make patients safe from shock and reduce the mortality rate. The purpose of the study is to review the nursing care of patients who have Upper Gastrointestinal Bleeding with Hypovolemic shock. This study assesses cases of patients with Upper Gastrointestinal Bleeding with Hypovolemic shock from November 2022. The study instruments used in collecting the data were the medical record, the interviews with patients’ relatives, and the patient observation. The data analysis compares functional health patterns, clinical, signs and symptoms, treatment, problem and nursing diagnosis, nursing care of patients with critical periods, continuing care, and discharge planning. There is one case of a patient: an 88-year-old Thai male with hematemesis and hematochezia, tired and exhausted. The physician’s diagnosis is Upper Gastrointestinal Bleeding with Hypovolemic shock. The physician treated the patient with a breathing tube, on blood transfusion, and a load of intravenous fluid, and an endoscope found Acute Gastric Ulcer Bleeding with Multiple clean-based Ulcers all over the stomach. Nurses are prepared to care for patients in emergencies, to be consistent with the treatment plan to reduce complications and keep patients safe. This study shows nursing care in three processes for close monitoring patients in hospitals; critical care, continuous care, and discharge planning phases. A study can be used for patient to keep patient safety