Buy a Nursing essay from

Left your Nursing Assignment to the last minute? Let a qualified expert do your Nursing essay for you and deliver it before your deadline!

Buy Nursing essay Papers
Calculate your paper price
Pages (550 words)
Approximate price: -

Upper Gastrointestinal Bleeding Nursing Management

Upper gastrointestinal bleeding is characterized by the quick aggression of bleeding from the GI tract at a aspect (or aspects) proximal to the girth of Treitz. Most upper GI bleeds are a frequented consequence of peptic abscess erosion, force connected- mucosal sickness, that may appearance as flimsy erosive gastric lesion to artshort abscessations, erosive gastritis (inferior to use or abuse of NSAIDs, traditional corticosteroids, or alcohol) or esophageal varices (inferior to hepatic scarcity). In individualization to these, Mallory-Weiss whimper can agent gastroesophageal bleeding as a consequence of austere retching and vomiting, but the bleeding tends to be short austere than in other types. Hospitalized critically ill resigneds are at heightened cause for force connected mucosal sickness, distinctly if they are intubated and mechanically ventilated and/or evidencing coagulopathies.

Signs and Symptoms
  • Melena and hematemesis
  • Pain
  • Hypovolemic shock
Physical Examination
Vital signs
  • BP < 90 mm Hg
  • HR > 100 beats/min
  • RR: tachycardia
  • Temperature: mayhap elevated
  • Hematemesis
  • Melena
  • Bloody stool delay corrupt odor
  • Coffee foundation gastric aspirate
  • Pale, diaphoretic
  • Cool, clammy
  • Jaundice
  • Weak, thready pulse
  • Capillary satisfy > 3 sec
  • Maybe compassionate delay guarding
  • Bowel sounds hyperactive or absent
Acute Care Resigned Management
Nursing Diagnosis: Deficient soft body connected to race waste from hemorrhage.
Outcome Criteria
  • Patient vigilant and oriented
  • Skin, pink, interested, and dry
  • CVP 2 to 6 mm Hg
  • PAS 15 TO 30 mm Hg
  • PAD 5 to 15 mm Hg
  • BP 90 to 120 mm Hg
  • MAP 70 to 105 mm Hg
  • HR 60 to 100 beats/min
  • Urine output 30 ml/hr
Patient Monitoring
  1. Obtain pulmonary artery constraining, accessible venous constraining and race constraining full 15 minutes during intelligent episodes to evaluate soft needs and the resigned’s repartee to therapy.
  2. Monitor soft body standing. Measure intake and output hourly to evaluate renal perfusion.
  3. Measure race waste if practicable.
  4. Continuously mentor ECG for dysrythmias and myocardial ischemia.
Patient Assessment
  1. Assess resigned for increases impatience, instinct or altered intelligence, which may manifest decreased cerebral perfusion.
  2. Assess hydration standing.
  3. Be vigilant for repose of bleedings.
Diagnostic Assessment
  1. Review Hgb and Hct levels to determine the competency of matter or worsening of the resigned’s circumstances.
  2. Review clotting factors and serum calcium levels if multiple transfusions possess been impart.
  3. Review serial BUN levels.
  4. Review serial ABGs to evaluate oxygenation and acid-base standing.
  5. Review the consequence of endoscopic evaluation.
Patient Management
  1. Maintain a questionable airway. Administer minor oxygen as ordered.
  2. Administer colloids as ordered to cure intravascular body.
  3. Type and crossmatch for anticipated race products.
  4. Evacuate stomach discontinuance delay nasogastric tube and prepare lavages delay compass clime introduce or important to transparent race clots from the stomach.
  5. Continue to mentor the resigned air-tight once stabilized.
  6. Vitamin K or fresh-frozen plasma (FFP) may be ordered to set-right coagulation deficiencies.
  7. Explain all procedures and tests to the resigned to acceleration relieve misgiving and decreased tissue oxygen demands.


Ask our team

Want to contact us directly? No problem. We are always here for you.

Frequently Asked Buy a Nursing essay Questions

See all
Is your service confidential?

When you place an order with our company, we ask you to provide us with such personal information as your name, phone number, and email address. We need this data to keep you updated on the important things related to your order or account, and never share it with any third parties. We also don’t use your contact details for spamming you.

Please note that our support team may contact you using only the phone number(s) stated on our website, such +1 (248) 599-2414 and/+44 (151) 528-2636. In order to secure our mutual cooperation, please do not communicate with those who introduce themselves as essaypapers support staff and reach you from different phone numbers.

Also, remember that we never ask you to provide your credit card information via phone conversations. You should enter this information only on PayPal or Gate2Shop billing forms when making an online payment on our website. The essaypapers support administrator will send a confirmation letter to your personal order page when your payment is received.

We also use a secure encrypted connection and do not store your private data if we do not need it anymore. For more details about how we ensure your confidentiality, check our Privacy Policy, which completely complies with the GDPR.

We offer original model papers that can be used legally in a number of ways if properly referenced:

  • As a source of arguments or ideas for your own research
  • As a source of additional understanding of the subject
  • Direct citing

Nonetheless, check your college’s/university’s policies, including their definition of plagiarism and paraphrasing before using our services. Make conscious decisions in regards to your education.

How do I order a paper from essaypapers?

We take care not only of your academic success, but also of your experience with us. That’s why we have made the process of placing your order as easy and fast as possible—usually, it takes no more than 2-3 minutes.

Let’s have a closer look at the simple steps you need to go through for submitting your order:

Fill in the order form.

Be sure to include specific instructions regarding your paper and to upload any of the required materials. If you have any questions while specifying your paper’s information, just click on the info sign at the end of every field name and you will see a detailed tip on what exact information is required.

Proceed with the payment.

After you are through with the order form, you will need to make a payment via a preferable system. Right after that, you will be automatically provided with your personal order page where you can track your order’s progress, provide additional requirements, and send messages to your writer or support manager.

A personal writer is assigned to your order.

Our qualified staff will choose the most suitable writer whose skills and experience match your field of study and paper’s details. In case the writer must have any particular software or literature in order to get the Nursing Assignment done, please do not forget to mention this in your initial instructions.

Your paper is completed and delivered to your personal order page.

When the writer finishes your paper, it is delivered to your personal order page as a PDF document, available for preview only. You will be able to download an editable MS Word version of the order right after you click the “Approve” button in the “Files” tab of your personal order page. If any changes are to be applied to the paper, you are always welcome to request a free revision with a new deadline for the writer (be sure to check more information about this in our revision policy).

You can check how easy the process is by going to the order page and submitting your paper details right now.

Is there a money-back guarantee? If yes, how can I receive a refund?

You can get more details about possible types and terms of refunds on our official money-back guarantee page.

How will I receive a completed paper?

You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions.

If there happen to be any problems with downloading your paper, please contact our support team.

What if I’m not satisfied with my order?

If your paper needs some changes, you can apply for a free revision that is available for 7 days after your paper is approved. To use this option, you have a “Revision” button on your personal page.

After the 7-day period, you cannot apply for a free revision, though you still can use a paid revision option. The price of such a revision will differ depending on the number of amendments needed to be done. Please contact our support team to find out how we can help you with the amendments to your paper.

If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

Order your essay today and save 15% with the discount code NURSINGHELP