Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Digestive Hemorrhage (HD) is the loss or extravasation of blood that originates in any segment of the digestive tract, reaching the esophagus-gastric, intestinal or colonic lumen, it is a frequent health problem in the world and is considered as a major cause of morbidity and mortality. In most cases, digestive bleeding occurs acutely and with significant systemic repercussions such as hematemesis, melena, hematochezia, rectal bleeding, it is important to take into account the age of the patient, comorbidities, volume, evolution and origin of digestive bleeding, to determine urgent measures in the stabilization of patients, as well as the nursing care that will be provided in order to minimize bleeding and maintain hemodynamic stability. Upper Gastrointestinal Bleeding (HDA) represents the most frequent gastroenterological medical emergency in the world, with a prevalence of 150 per 100 000 adults per year with a mortality between 10,0% to 20,0%, Low Gastrointestinal Bleeding (HDB) is life-threatening, and may manifest as iron deficiency anemia, blood in stool, or hematochezia; in Ecuador in 2017 according to the National Institute of Statistics and Censuses (INEC), a hospital admission with ICD10 K922 (unspecified gastrointestinal bleeding) of 2 462 patients was reported, with a total of 2 375 living discharges, and a total of 87 deceased patients; In the Carlos Andrade Marín Specialties Hospital from 2017 to 2019, patients with upper digestive bleeding represent a mortality of 3,5 to 10,0%1. The proposed route guides nursing staff on the evolution, evaluation and management of adult patients with gastrointestinal bleeding.
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