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GI

Terms in this set (9)

ligament of treitz
separates the upper from the lower; anything below the diaphragm is considered the lower
causes of GI bleed
PUD
Stress Ulcers
Mallory-Weiss tear; long term NSAID use
Esophageal Varices
Curlings Ulcer
Burn Patients
Cushings Ulcer
Head trauma
portal hypertension
above 10
normal is 2-5
esophageal varices
swollen, varicose veins at the lower end of the esophagus

DO not put NG tube down these patients
first priority to assess hemodynamic stability
blood loss
V/S
LOC
Urine Output
Hyperactive Bowel Sounds
1st priority to treat upper GI bleed
oxygen, IV (large bore) FLuids, blood products with plasma
gastric lavage
meds for upper gi bleed
proton pump inhibitors
antacids
H2-receptor blockers
Mucosal barrier enhancers (Karafate)
Antibiotics
Octerotide infusions
Tranexamic acid
Hold anticoags
Vasopression; works via liver
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