Nurses Compass
Care Plan for Gastrointestinal Bleeding
Category: Gastrointestinal
Assessment
Patient presents with hematemesis, melena, and signs of shock.
Diagnosis
Risk for bleeding related to gastrointestinal ulceration or varices.
Goals
Patient will maintain hemodynamic stability and be free from signs of active bleeding. Patient will verbalize understanding of dietary and medication regimen to prevent gastrointestinal bleeding.
Interventions
Monitor vital signs and assess for signs of bleeding and shock. Administer prescribed proton pump inhibitors and hemostatic agents. Educate patient on avoiding foods and substances that may exacerbate bleeding, such as NSAIDs and alcohol. Prepare patient for endoscopic evaluation and treatment if necessary.
Rationale
These interventions help manage symptoms, prevent complications, and support patient understanding of gastrointestinal bleeding management.
Evaluation
Patient's hemodynamic stability, signs of bleeding, and understanding of prevention strategies will be monitored to evaluate the effectiveness of interventions.