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7/15/2013. Introduction Esophageal and gastric bleeds can be massive. Minnesota Tube Nursing Care Bundle There are many techniques to stabilize An intervention to enhance the patient. nursing comfort and patient safety. Medications Endoscopy IR. Minnesota Tube Pathophysiology Portal vein feeds the liver Used for life threatening bleeds not controlled by other Hepatic vein carries blood from the liver to the methods. inferior vena cava Outside hospitals stabilize ETOH damages the liver causing cirrhosis patients with these tubes The list of equipment Collateral circulation is formed to compensate necessary for the placement of for the liver disease the tube is long and time consuming to gather. Portal HTN causes varices Varices develop in esophagus, stomach, rectum and umbilical regions Hemorrhage of varices The big bleed Treatments When all else fails Pharmaceuticals Tamponade Octreotide Minnesota tube Vasopressin Sengstaken Blakemore tube Nexium Endoscopy Banding Injections Surgery IR.

7/15/2013 1 Minnesota Tube Nursing Care Bundle An intervention to enhance nursing comfort and patient safety. Introduction •Esophageal and gastric

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