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HESI I MEDSURG STUDY GUIDE - Hematemesis Information Nursing Processes
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HESI I MEDSURG STUDY GUIDE Hematemesis Information Nursing Processes Please use this guide as such, a guide however remember to utilize the basics, the nursing process, ABC’s and prioritize accor ... dingly. • Hematemesis (vomiting blood) – typically upper GI bleed a. What to assess? i. Remember ABC’s (pt having diff breathing?), check vital signs first* ii. Assess stool (blood present? – if so, what color. Dark red = upper GI bleed, usually more serious) iii. Check if they are on iron supplements iv. Worried about hypovolemic shock 1. S/S: restlessness, agitation, inc HR and RR, cool, pale, sweaty [Show More]
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