The patient was admitted on January 30, 2021 at 7:00 am with a chief complaint of abdominal pain 8/10 with hematemesisand melena, was admitted to male medical ward of East Avenue Medical Center, hooked to D5NR 1L X 12 hours at DF of 15. Admit to:

Diet: NPO, then regular diet no coffee or tea

Vital signs: Every 4 hours, postural BP

IVF to follow: D5NR 1L X 12 hours, D5NM 1L X 12 hours, (then alternately)

Diagnostics: Barium swallow, Fecal Occult Blood, CBC, Urinalysis, Na, K, Amylase, Ca, ECG, Whole abdomen Ultz, Upper GI endoscopy

Monitor: Pain, Bleeding

Therapeutics: Medical Management

1. Medications: Sucralfate (Iselpin) 1 gram in 20 ml water QID 1 hour before meals and at bedtime, Omeprazole 40 mg TIV every 12 hours, Metronidazole 500mg/100ml 1 bottle TIV every 8 hours, Clarithromycin 500 mg powdered diluted to distilled water TIV every 12 hours, Tramadol(Tramal) 50mg/ml TIV PRN for pain, Plasil 5mg/ml PRN.

2. Nursing Management

Bed side care

Assess GI status to monitor signs of bleeding

Monitor and records, V/S, I and O, and lab studies

Relieve of pain by adherence to medication and avoid foods that cause mucosal irritation

DAT to meet the metabolic demands and promote wound healing

NGT insertion for saline lavage until return is clear if bleeding is present

Maintain position and patency of low suction of NGT

Blood transfusion of PRBC 4 units of blood after properly checked and cross matched

3. Watch out for complication

QUESTION

1)MAKE 2 NCP FOR THIS CASE

2) make Diagnostics test result for the following :Barium swallow, Fecal Occult Blood, CBC, Urinalysis, Na, K, Amylase, Ca, ECG, Whole abdomen Ultz, Upper GI endoscopy

1 NCP for peptic ulcer disease