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    Cap 1 Activity 1 Semi

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    Charissa Magistrado De Leon
    Mrs. Arellano, a 70-year-old woman with a history of chronic back pain and atrial fibrillation, was admitted to the intensive care unit for vomiting bright red blood. Her vital signs showed she was pale, diaphoretic, and in sinus tachycardia with a blood pressure of 70/40. Her hemoglobin was 9 g/dL and her INR was elevated at 5.3, indicating a risk of bleeding from her warfarin use. The medical diagnosis was upper gastrointestinal bleeding.

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    Cap 1 Activity 1 Semi

    Uploaded by

    Charissa Magistrado De Leon
    28 views2 pages
    Mrs. Arellano, a 70-year-old woman with a history of chronic back pain and atrial fibrillation, was admitted to the intensive care unit for vomiting bright red blood. Her vital signs showed she was pale, diaphoretic, and in sinus tachycardia with a blood pressure of 70/40. Her hemoglobin was 9 g/dL and her INR was elevated at 5.3, indicating a risk of bleeding from her warfarin use. The medical diagnosis was upper gastrointestinal bleeding.

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    CAP 1 ACTIVITY 1 SEMI

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    Mrs. Arellano, a 70-year-old woman with a history of chronic back pain and atrial fibrillation, was admitted to the intensive care unit for vomiting bright red blood. Her vital signs showed she was pale, diaphoretic, and in sinus tachycardia with a blood pressure of 70/40. Her hemoglobin was 9 g/dL and her INR was elevated at 5.3, indicating a risk of bleeding from her warfarin use. The medical diagnosis was upper gastrointestinal bleeding.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    28 views2 pages

    Cap 1 Activity 1 Semi

    Uploaded by

    Charissa Magistrado De Leon
    Mrs. Arellano, a 70-year-old woman with a history of chronic back pain and atrial fibrillation, was admitted to the intensive care unit for vomiting bright red blood. Her vital signs showed she was pale, diaphoretic, and in sinus tachycardia with a blood pressure of 70/40. Her hemoglobin was 9 g/dL and her INR was elevated at 5.3, indicating a risk of bleeding from her warfarin use. The medical diagnosis was upper gastrointestinal bleeding.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ARELLANO UNIVERSITY

    COLLEGE OF NURSING
    2600 Legarda St. Sampaloc, Manila
    www.edu.ph.com

    CAP 1 ACTIVITY
    SEMIFINALS

    Brief Patient History:

    Mrs. Arellano, 70 who has a long history of chronic back pain. She has been taking
    nonsteroidal anti-inflammatory drugs (NSAIDs) for several years now. She was recently
    prescribed warfarin for his atrial fibrillation.

    Clinical Assessment:
    Mrs. Arellano was currently admitted to the intensive care unit for vomiting bright red blood. She
    is pale and diaphoretic, and complains of epigastric pain.

    Diagnostic Procedures/VS:
    Blood pressure (BP), 70/40; heart rate (HR), 130 (sinus tachycardia); respiratory rate (RR), 30;
    temperature (T), 101.3° F; urine output, 15 mL/hr; hemoglobin, 9 g/dL; international normalized
    ratio (INR), 5.3.

    Medical Diagnosis:
    Upper gastrointestinal bleeding

    Answer the following questions:

    1. What major outcomes do you expect to achieve for this patient?


    - The major outcomes expected for this patient includes hemodynamic and hemostasis.

    2. What problems or risks must be managed to achieve these outcomes?


    - Maintenance of tissue perfussion, volume resuscitation, and airway protection must be
    managed.

    3. What interventions must be initiated to monitor, prevent, manage, or eliminate the


    problems and risks identified?
    - Patients VS should be monitored. The bleeding source should be identified and
    arrested. Laboratory values should be assessed and blood product replcement should be
    administered.

    4. What interventions should be initiated to promote optimal functioning, safety, and well-
    being of the patient?
    - Adherance to policy on blood product administration. Prompt recognition of transfusion
    reactions and assessment of complications.

    5. What possible learning needs would you anticipate for this patient?
    - Patient should be educated on the effect of NSAIDS use on GI tract, monitoring of
    coagulations and an action plan in the event of further bleeding.

    6. What cultural and age-related factors might have a bearing on the patient’s plan of
    care?
    - Patient may gave difficulty complying with a treatment plan due to potential memory
    impairment, financial issues and transportations.

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