The caring plan’s desired outcome is to enable the patient to avoid any form of fracking or occult bleeding, thus remaining hemodynamically stable. This can be achieved through the following four interventions. Firstly, the nurse must assess vital indicators and observe any form of bleeding, such as hematemesis and melena, to identify raptures and esophageal varices bleeding. Secondly, the attendant should perform a focused assessment of the patient’s abdominal area and check for ascites, which is a leading symptom of the disorder. Thirdly, the caregiver should administer medications that can help in reducing hypertension based on the prescriptions. The drugs can include propranolol and nadolol, which are beta-blockers. Fourthly, the nurse should vividly explain to the patient the meaning of endoscopic band ligation and the risks and benefits associated with it (Farrar, 2018). Eventually, the nurse should make preparations with the patient to undergo the procedure.
Esophagogastroduodenoscopy is done to view the stomach, duodenum, and esophagus. During the procedure, the doctor utilizes an endoscope to see images of the digestive tube. In some cases, other smaller instruments may be passed through the tract to treat specific diseases or be used for biopsies. This procedure can be used when the patient has pain in the chest or feels discomfort in their upper abdomen. It is also necessary to perform this procedure when the patient is experiencing episodes of nausea or vomits, has a gastroesophageal reflux disease (GERD), has dysphagia, or is bleeding from their upper intestinal tract. The patient should discontinue using such drugs as aspirins and NSAIDS seven before the procedure can be performed. Moreover, they must not eat or drink any food 12 hours before the surgery to keep their upper intestinal track empty. Aftercare should include observing the patient in the endoscopy suite. They should be advised not to eat any food until the anesthetics given to them have won off in their throat, and they have regained their gag reflex (Farrar, 2018). This information is relevant for the patient and nurses to understand what needs to be done before and after the procedure.
Reference
Farrar, F. C. (2018). Management of acute gastrointestinal bleed. Critical Care Nursing Clinics, 30(1), 55-66. Web.