Valerie Cucina concept map worksheet on case GI bleeding

The patient, V.C., is a 78-year-old female experiencing an upper gastrointestinal bleed. This occurred due to her overuse of NSAIDs to manage her orthopedic pain. Additionally, she was taking an SSRI to manage depression since the recent loss of her husband. NSAIDs, such as ibuprofen or aspirin, are often associated with gastrointestinal perforation, ulceration, and bleeding. SSRIs, such as sertraline or fluoxetine, are also known to contribute to upper gastrointestinal bleeding. Using this daily combination of drugs, as well as overusing her NSAID prescription, most likely caused her disease process. Epigastric pain, decreased BP, increased pulse, low hematocrit, low hemoglobin, confusion, dehydration Valerie Cucina 1/1/1945 78 y/o F Full Code NKA Dx: Upper GI Bleed Upper GI endoscopyidentify location of hemorrhage; repair bleed  Vital signs as ordered  NPO  Finish blood transfusions  Medications as ordered  Prep for diagnostic EGD  Patient education  I + O measurements  Focused assessments for GI, neuro, and respiratory systems