Author Question: Which medical interventions and management systems control the bleeding of esophageal varices? ... (Read 13 times)

deesands · **on:** Jul 11, 2018

Which medical interventions and management systems control the bleeding of esophageal varices? (Select all that apply.)

a. Transfusions
b. Sengstaken-Blakemore tube
c. Band ligation
d. Cryotherapy
e. Portocaval shunt
f.
Large doses of vitamin B12

Question 2

A patient with a T-tube for an open cholecystectomy has resumed oral intake. The T-tube is clamped 2 hours before meals and unclamped 2 hours after meals to aid in the digestion of fat.

During the time the tube is clamped the patient complains of abdominal pain and nausea. Which intervention is most appropriate?
a.
Notify the physician
b.
Unclamp the tube immediately
c.
Increase the IV fluids
d.
Change the T-tube dressing

dmurph1496 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: B, C, E
Band ligation, insertion of the S/B tube, and various shunting surgeries are helpful in stopping the hemorrhage. Transfusions and water-soluble vitamins are not beneficial.

Answer to Question 2

ANS: B
While the tube is clamped, the patient may show signs of abdominal pain, nausea, vomiting, etc. Unclamp the tube immediately to allow for drainage and relief of both nausea and pain.