Guess the ulcer:
Caused by a break in the mucosa that extends through the entire mucosa & into the muscle layers, damaging blood vessels & causing hemorrhage or perforation into GI wall
Two things that duodenal & gastric ulcers most commonly cause are
Peptic ulcer disease
Upper GI bleeding
What type of ulcer develops within hours of an event such as hemorrhage, multisystem trauma, severe burns, heart failure or sepsis?
Ischemia is the prior etiology associated with the formation of what type of ulcer?
An acute form of peptic ulcer that often accompanies severe illness, systemic trauma or neurological injury.
Stress ulcers associated with severe head trauma or brain surgery. A form of stress ulcer
Cause: MI, myocardial contusion, cardiomyopathy, myocarditis, severe HF, dysrhythmias, valvular dysfunction
↑ HR, RAP, PAP, PAOP, SVR
↓ BP, mentation, CO, CI, SVO2
dysrhythmias, chest pain, tachypnea, oliguria, cool-pale skin, left/right ventricular failure
Replace lost volume, w/fluid & eliminate and treat cause
Blood, Isotonic crystalloids, fluid challenge (250-500mL wide
Will need a large bore IV (20 or 18gauge) 18gauge preferred.
Cause- GI bleed, surgery or trauma, ascites or hemorrhage
↑ HR, HCT from dehydration, SVR
↓ BP, HCT from blood loss, CO, CI, pressures (RAP, etc)
tachypnea, oliguria, cool-pale skin, FLAT NECK VEINS
What is the major cause of duodenal ulcers?
Infection w/helicobacter pylori bacteria
Risk factors for peptic ulcer:
- Helicobacter pylori infection (most common)
- Constant use NSAIDS
A glycoprotein secreted by the stomach to aid in vitamin B12 absorption
If your patient diagnosed w/thrombocytopenia is to receive a transfusion of RBCs & platelets, which is transfused first?
*because they have the clotting factors and will prevent excess bleeding at puncture site