Nursing care of patients with upper gastrointestinal bleeding who are in shock: a case study of Khun Han Hospital, Khun Han District, Sisaket Province

Abstract

            Upper gastrointestinal hemorrhage is a medical emergency in which patients with upper gastrointestinal hemorrhage are treated. This requires the cooperation of a team of doctors and nurses because hemorrhage in the upper gastrointestinal tract is a critical condition that causes the patient to lose blood leading to shock and hypothermia. Severe complications can lead to death if not diagnosed and treated promptly. We studied two patients treated in Khun Han Hospital in Sisaket province between August and September 2023 with shock upper gastrointestinal bleeding by studying medical records. Inpatient history taking, patients and relatives Observation Comparative Data Analysis Gordon's 11 Health Schemes Pathology Symptoms and signs Treatment of bleeding in the upper gastrointestinal tract Nursing problems and diagnoses Nursing care in the critical, continuous, and discharge planning phases showed that bleeding in the upper gastrointestinal tract. It is a crisis that has rapid physical and psychological consequences. Nurses must be able to assess and care for patients at the outset to prevent risks to the patient's life. Proper primary care from community hospitals, as well as the correct coordination of referrals, are one of the key factors to be able to provide effective care. In addition, patients are treated in intensive care units, equipped with modern and equipped ventilators. There are specialized personnel who have undergone specialized training, enabling fast, accurate, and appropriate medical treatment in a timely manner in the event of illness and safe from complications.