Question

what is the care plan for a patient addmitted to medical surgical unit with a diagnosis of chronic gastrointestinal bleed.

Answer 1

Subjective Data

• Dizziness
• Tiredness
• Pain in the abdomen

Objective Data

• Decreased blood pressure(Hypotension)
• Inactive
• Decreased skin tonicity
• Tachycardia

Nursing Intervention

• Check hemoglobin

Monitoring hemoglobin helps to identify if the patient is in need of blood transfusion.

• Check blood pressure and heart rate

It helps to identify the patient's volume status as hypotension and tachycardia occur when the blood volume is low.

• Provide blood transfusion if required.

Hemoglobin level below 8 g / dL requires a blood transfusion.

• Monitor ECG levels

A low volume of blood interferes with the functioning of the heart.

• Monitor for bleeding in the stools

Black/tarry stools indicate upper GI bleed and bright red blood indicate lower GI bleed.

• Prevent fall or injury for the patient.

Due to hypovolemia, there is a chance of falls. Assisting them in their activities should be done.

Expected Outcome

To control the bleeding and to normal the vital signs.