⭐⭐⭐ UPPER GASTROINTESTINAL TRACT BLEEDING AND HAEMATEMESIS ⭐⭐⭐
⭐⭐⭐ UPPER GASTROINTESTINAL TRACT BLEEDING AND HAEMATEMESIS ⭐⭐⭐ 1) DEFINITION OF HAEMATEMESIS :- Hematemesis is the vomiting of blood. It is the bleeding proximal to duodenojejunal junction i.e ligament of treitz. 2) TREATMENT OF HAEMETEMESIS :- TREATMENT IS IMPORTANT FIRST . (I) Primary treatment - # Patient's condition should be made stable first. Monitor Pulse, BP , respiration, consciousness, Urine output. Blood sample is taken for Hb testing. # Body fluid replenishment by fluids & blood. ( Hb should be kept > 7-8 gm/dl.) (II) Gastric lavage - # Nasogastric tube (Ryle's tube) is inserted & 500 ml tap water is instilled & aspirated every 30-60 mins. # Vasoconstriction occurs due to cool water which helps in temporary cessation of bleeding. # It helps to clear stomach prior to endoscopy, assess th...