ActionSTAT: Bleeding esophageal varices
Dorothy S. Carlson DEd, RN
Ellen Pfadt MSN, RN

December 2012 
Volume 42  Number 12
Pages 72 - 72
  PDF Version Available!

MR. M, 50, ARRIVES at the ED in an ambulance accompanied by his daughter, who says he's confused and complains of feeling faint. He began vomiting at home within the last hour and described the vomit as having a coffee-ground appearance at first, then becoming bright red. He had two episodes of vomiting at home and one during the ambulance ride. Mr. M reports having black, tarry stools for the last few days. Mr. M's daughter informs the healthcare provider that he's recently been drinking heavily.On arrival at the ED, Mr. M's vital signs are: temperature 98.6[degrees] F (37[degrees] C); apical pulse, 120; sinus tachycardia on cardiac monitor; respirations, 24; BP, 90/70; SpO2, 94% on oxygen at 4 L/min via nasal cannula.Mr. M appears older than his stated age. His skin is cool and slightly jaundiced, with multiple ecchymoses. Additional physical assessment findings include ascites and caput medusae. A fecal occult blood test is positive.Based on history and physical assessment findings,

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events