GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)
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Outline
GI Bleed (Upper, Lower)
Definition/Etiology:
- Injury to GI tract lining
- Causes
- Injury/trauma
- Medications
- chronic conditions (UC, Crohn’s, CA)
- Causes
Pathophysiology:
- Bleeding may not stop
- Will show two locations of injury
- Explain why injuries can reoccur
- Why the color of emesis/stool is what we see
Noticing: Assessment & Recognizing Cues:
- Bloody emesis (may be “coffee ground”, don’t forget to measure if possible)
- Rectal bleeding
- Abdominal pain
- Faint/lightheadedness
Interpreting: Analyzing & Planning:
- Complete Blood Count (CBC)
- Endoscopy
- Colonoscopy
Responding: Patient Interventions & Taking Action:
- Proton Pump Inhibitor- upper
- Blood Transfusion (make sure T&C and signed consent for blood in chart)
- Severe Bleeding
- Cauterize
Reflecting: Evaluating Patient Outcomes:
- Bleeding improved
- Pain decreased
Linchpins (Key Points):
- Location matters!
- Dark red stool is HIGH
- Bright red stool is LOW
- Bloody/coffee-ground emesis is HIGH
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Transcript
References
- Mayo Clinic. (2022a) Diagnosis & treatment. Gastrointestinal bleeding. https://www.mayoclinic.org/diseases-conditions/gastrointestinal-bleeding/diagnosis-treatment/drc-20372732
- Mayo Clinic. (2022b). Symptoms & causes. Gastrointestinal bleeding. https://www.mayoclinic.org/diseases-conditions/gastrointestinal-bleeding/symptoms-causes/syc-20372729
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Adaptive Brain SIMCLEX Study Plan – 19 Nov 2025
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GI Bleed (Upper, Lower) for Progressive Care Certified Nurse (PCCN)