Back to School Offer

Get 20% of Your First Order amount back in Reward Credits!

Get 20% of Your First Orderback in Rewards

All papers examples
Get a Free E-Book! ($50 Value)
HIRE A WRITER!
Paper Types
Disciplines
Get a Free E-Book! ($50 Value)

Bleeding Peptic Ulcer: An Emergency Room Vignette, Case Study Example

Pages: 1

Words: 303

Case Study

In the case scenario, a Jehovah’s Witness appears in the emergency room with a bleeding peptic ulcer. Because she refuses a blood transfusion, it is necessary to resolve her presenting problem, i.e. the bleeding, while respecting her religious beliefs. The first step would be to order a clinical and endoscopic evaluation, determining whether the patient is someone who requires active therapy as opposed to monitoring and preventive measures (Sung, 2006.) The goal is to achieve homeostasis, using a combination of medications and endoscopic therapy (a combination of injection and thermal coagulation.) Surgery would also need to be considered, since it is frequently the most efficient means of controlling bleeding. The decision about whether to proceed with surgery versus recurrent endoscopic treatment would need to be based on the patient’s pre-existing health status, as well as the specific traits of the ulcer.

Following the management of the bleeding problem, a longer-term treatment plan needs to be developed for this patient. Typically, the treatment would involve antibiotics to eliminate the bacteria as well as other medications to decrease the level of acid in the digestive system (Peptic Ulcer: Treatment and Drugs, 2011.) If the ulcer has been caused by acidity, the patient may need prescriptions for medication that will protect the lining of the stomach, reduce acid production, or drugs that will neutralize stomach acid. Proton-pump inhibitors , or PPI s, such as intravenous omeprazole, have been found to have a strong acid-suppressing effect on the stomach In addition, follow-up endoscopies should be ordered on a regular basis to monitor the status of the ulcer and to prevent it from bleeding again.

References:

Peptic Ulcers: Treatment and Drugs. (2011, January 6). Retrieved January 27, 2012, from Mayo Clinic: http://www.mayoclinic.com/health/peptic-ulcer/DS00242/DSECTION=treatments-and-drugs

Sung, J. (2006, January 13). Current Management of Peptic Ulcer Bleeding. Retrieved January 27, 2012, from Medscape Today News: http://www.medscape.com/viewarticle/52118

Time is precious

Time is precious

don’t waste it!

Get instant essay
writing help!
Get instant essay writing help!
Plagiarism-free guarantee

Plagiarism-free
guarantee

Privacy guarantee

Privacy
guarantee

Secure checkout

Secure
checkout

Money back guarantee

Money back
guarantee

Related Case Study Samples & Examples

A Guide to Buying, Cooking, and Eating Italian Food, Case Study Example

A macro environmental analysis reveals the relationship between the external business environment and Eataly as well as the food industry. Political: The country is currently [...]

Pages: 6

Words: 1546

Case Study

Moult Hall, Case Study Example

After reviewing the case study of Moult Hall, it is clear that there are two options on how the hall could be renovated for future [...]

Pages: 17

Words: 4642

Case Study

Work-Life Balance, Case Study Example

KPMG has realized a number of benefits as a result of offering its employees flexible work arrangements. One of the most significant in employee satisfaction. [...]

Pages: 1

Words: 306

Case Study

Costco, Case Study Example

Shopping at retailers such as Costco, Nordstrom, and Whole Foods provides a more pleasant experience than shopping at retailers such as Walmart, Sears, and Kroger.  [...]

Pages: 1

Words: 273

Case Study

Sallie Mae Fisher, Case Study Example

Four problems affecting Sallie Mae Fisher according to priority are dyspnea due to congestive heart failure. The second is edema due to heart failure. Thirdly, [...]

Pages: 5

Words: 1346

Case Study

Approaching Death: Improving Care at the End of Life, Case Study Example

Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized several times due to his CHF symptoms. [...]

Pages: 4

Words: 1009

Case Study

A Guide to Buying, Cooking, and Eating Italian Food, Case Study Example

A macro environmental analysis reveals the relationship between the external business environment and Eataly as well as the food industry. Political: The country is currently [...]

Pages: 6

Words: 1546

Case Study

Moult Hall, Case Study Example

After reviewing the case study of Moult Hall, it is clear that there are two options on how the hall could be renovated for future [...]

Pages: 17

Words: 4642

Case Study

Work-Life Balance, Case Study Example

KPMG has realized a number of benefits as a result of offering its employees flexible work arrangements. One of the most significant in employee satisfaction. [...]

Pages: 1

Words: 306

Case Study

Costco, Case Study Example

Shopping at retailers such as Costco, Nordstrom, and Whole Foods provides a more pleasant experience than shopping at retailers such as Walmart, Sears, and Kroger.  [...]

Pages: 1

Words: 273

Case Study

Sallie Mae Fisher, Case Study Example

Four problems affecting Sallie Mae Fisher according to priority are dyspnea due to congestive heart failure. The second is edema due to heart failure. Thirdly, [...]

Pages: 5

Words: 1346

Case Study

Approaching Death: Improving Care at the End of Life, Case Study Example

Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized several times due to his CHF symptoms. [...]

Pages: 4

Words: 1009

Case Study

Get a Free E-Book ($50 in value)

Get a Free E-Book

How To Write The Best Essay Ever!

How To Write The Best Essay Ever!