NURS 488 Lecture Notes - Lecture 7: Sucralfate, Chemotherapy, Peristalsis

• School: University of Calgary
• Department: Nursing
• Course: NURS 488
• Professor: Brenda Lays

Document Summary

Full health history and identify if nsaids, ibuprofen, asa, anticoagulants, or peptic ulcer disease. May require emergency steps if bleeding becomes severe and patient is unable to support respiratory function and bp. Prepare for the event of a code. Alleviating shock of the frank red blood in the toilet may be required for patient teaching. Provide education if peptic ulcer disease is the cause of the ugib, to help identify foods that may exacerbate symptoms that may lead to a bleed. Multivitamins if alcohol abuse (etoh) is the cause of the bleed. Thiamine if etoh is the cause of the bleed. If patient is losing electrolytes then may need to replace per physicians orders. Thorough assessments should identify obstructions, especially in ileus. Review policy and procedure for ng tubes. Review the number of narcotics being used to avoid ileus if possible. Note if acid is being removed from the patient- at risk for alkalotic state.