Nurses Compass
Care Plan for Esophageal Varices
Category: Gastrointestinal
Assessment
Patient presents with hematemesis, melena, and signs of shock.
Diagnosis
Risk for bleeding related to ruptured esophageal varices.
Goals
Patient will maintain hemodynamic stability and be free from signs of active bleeding. Patient will verbalize understanding of dietary and lifestyle modifications to prevent variceal bleeding.
Interventions
Monitor vital signs and assess for signs of bleeding and shock. Administer prescribed medications to reduce portal hypertension (e.g., beta-blockers). Educate patient on avoiding alcohol and foods that may irritate the esophagus. Prepare patient for endoscopic treatment if necessary.
Rationale
These interventions help manage symptoms, prevent complications, and support patient understanding of esophageal varices management.
Evaluation
Patient's hemodynamic stability, signs of bleeding, and understanding of prevention strategies will be monitored to evaluate the effectiveness of interventions.