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학습 자료 둘러보기 →The combination of hematemesis and hypotension indicates an active upper GI bleed with significant intravascular volume loss. This constitutes a pre-procedural emergency that must be stabilized before any diagnostic test.
Immediate nursing actions include establishing large-bore IV access, initiating fluid resuscitation with crystalloids, and monitoring vital signs every 5-15 minutes. The primary goal is to restore circulating volume and prevent progression to hypovolemic shock.
Do not proceed with the scheduled endoscopy. Notify the provider immediately and prepare for potential emergency intervention. Chronic symptoms like weight loss or early satiety, while concerning, do not take priority over acute circulatory compromise.
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