Manage Complications Bleeding: Watch for coffee ground vomitus; black, tarry stools (melena) as well as bright red blood.
{"Image DocumentName": "Manage ComplicationsBleeding: Watch for coffee ground vomitus; black, tarry stools (melena) as well as bright red blood.", "Image ImageDescription": "Monitor hemoglobin, hematocrit, coagulation studies. Monitor vital signs for shock. Manage Complications. Bleeding: Watch! For coffee ground vomitus, black, tarry stools (melena) as well as bright red blood. Monitor hemoglobin, hematocrit, coagulation studies. Monitor vital signs for shock. Nasogastric lavage: NOTE: use 0.9% saline NOT tap water. Hypovolemia from bleeding: isotonic crystalloids (0.9% saline, Ringer\u2019s lactate), blood products, electrolytes as indicated. Watch! for alkalosis due to acid loss from vomiting. Endoscopic therapy: Assist physician with EGD who will perform cautery, inject with epinephrine or use laser to close bleeding vessels. Patient preparation: large-bore IV catheter for conscious sedation, blood products if needed; NPO for at least 6 hours, informed consent. Post-procedure: monitor vital signs, oxygen.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}