HESI Med Surg Study Guide - Hematemesis Information Nursing Processes Advanced Medical-Surgical Nursing (University of Rhode Island). Last minute information for the exam revision.
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ESI Med Surg Study Guide - Hematemesis Information Nursing Processes Advanced Medical-Surgical Nursing (University of Rhode Island) HESI I MEDSURG STUDY GUIDE Please use this guide as such, a gu ide however remember to utilize the basics, the nursing process, ABC’s and prioritize accordingly. • 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 • Open vs Close angle glaucoma b. Def: condition characterized by inc intraocular pressure (IOP > 22 mmHg) r/t aqueous fluid being inadequately drained from eye ? gradual painless vision loss. Generally asymptomatic in early stages (seen in reg eye exam) i. No cure, can be treated pharmacologically and surgically c. Patient teaching i. Develop a teaching plan that includes the following: (p. 131) 1.