history of peptic ulcer disease

M.R. is a 40-year-old female who has a known history of peptic ulcer disease. She has been admitted through the emergency room with a diagnosis of GI bleeding—she is vomiting dark blood and had a nasogastric tube placed. When attached to low intermittent suction it initially drained 400 cc of dark brown/black drainage, but now it is starting to drain lighter red colored blood. The AGACNP knows that immediate priorities of care include:

A.

Ensuring hemodynamic stability

B.

Beginning a parenteral proton pump inhibitor

C.

Beginning gastric lavage

D.

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