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					v. 2 n. 4 (2021)
				 
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									II Congresso Nacional Multidisciplinar em Enfermagem On-line
							 
		 
	 
 
	
			
			
		O ENFERMEIRO DIANTE A HEMORRAGIA DIGESTIVA ALTA EM EMERGÊNCIA HOSPITALAR
	 
	
	
		
							
					Autores 
					
											
							
								Daisy Elisabete Leite da  Costa
							 
																				 
											
							
								Fabíola Vieira Cunha Cunha
							 
																				 
										 
				 
			
																												
							
									
				
										Palavras-chave:
				 
				
											ASSISTÊNCIA DE ENFERMAGEM, 											URGÊNCIA E EMERGÊNCIA, 											RESSANGRAMENTO, 											HEMORRAGIA GASTRINTESTINAL									 
			 
			
										
					Resumo 
					Introdução: A Hemorragia Digestiva Alta (HDA) é uma patologia de forte predomínio e alta taxa de mortalidade entre as doenças emergenciais, reconhecida pelo aparecimento de sangramento exteriorizado de hematêmese, sendo uma das causas que mais levam os pacientes a internações imediatas e até a morte. Objetivo: Descrever a conduta do Enfermeiro frente a hemorragia digestiva alta, identificar e classificar as principais dificuldades do Enfermeiro e sua equipe no atendimento em uma unidade de emergência e propor um modelo de fluxograma para o atendimento de emergência intra-hospitalar. Material e Métodos: Trata-se de uma pesquisa de busca bibliográfica, descritiva de caráter qualiquantitativa, possibilitando o conhecimento na atuação do enfermeiro em questão do atendimento de Enfermagem ao paciente com Hemorragia Digestiva Alta no cenário da Emergência Hospitalar. Foram analisados 822 artigos, após filtragem, no período de março a setembro de 2021, dos quais 18 artigos responderam aos objetivos específicos, por uma busca on-line nas bases de dados da literatura nacional e internacional. Resultados: As condutas executadas pelo Enfermeiro são: dimensionar a equipe, monitorar e avaliar o nível de consciência, ofertar oxigênio, garantir o acesso venoso, coletar sangue para exames laboratoriais, além de realizar a reposição volêmica, sondagem nasogástrica, lavagem gástrica e preparar para endoscopia com terapias associadas. Elaborado um fluxograma para facilitar a conduta do enfermeiro (anexo 1). Conclusão: com o bom uso da inteligência emocional e pensamento crítico promove a redução da mortalidade e valorização da equipe. A educação permanente, seguir protocolos que norteiem a conduta do Enfermeiro baseada em preceitos da prática em evidências, pode contribuir para a garantia do cuidado, mantendo a assistência nas intervenções.
				 
			
			
																										
						
		 
		
										
			
									
						
			
										
					
						
							Como Citar
						 
						
							
								
  Costa, D. E. L. da ., & Cunha, F. V. C. (2021). O ENFERMEIRO DIANTE A HEMORRAGIA DIGESTIVA ALTA EM EMERGÊNCIA HOSPITALAR. Revista Multidisciplinar Em Saúde , 2 (4), 164. https://doi.org/10.51161/rems/2600
 
							 
							
						 
					 
				 
			
										
											
					
											
							
								Seção
							 
							
								II Congresso Nacional Multidisciplinar em Enfermagem On-line
							
						 
									 
			
															
										
			
			
		 
	 
 
	                                                                  ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2])  % line  132, file: DAO.inc.php  
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600)  % line   91, file: ArticleSearchDAO.inc.php  
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1)  % line  201, file: SubmissionSearch.inc.php  
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1)  % line  194, file: SubmissionSearch.inc.php  
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1)  % line  132, file: SubmissionSearch.inc.php  
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null)  % line  263, file: SubmissionSearch.inc.php  
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1])  % line   92, file: RecommendBySimilarityPlugin.inc.php  
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3])  % line  107, file: HookRegistry.inc.php  
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3])  % line 1267, file: PKPTemplateManager.inc.php  
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template)  % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php  
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template)  % line  123, file: smarty_template_resource_base.php  
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template)  % line  114, file: smarty_template_compiled.php  
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template)  % line  216, file: smarty_internal_template.php  
                     Smarty_Internal_Template.render(false, 1)  % line  232, file: smarty_internal_templatebase.php  
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1)  % line  134, file: smarty_internal_templatebase.php  
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null)  % line  924, file: PKPTemplateManager.inc.php  
            PKPTemplateManager.display(frontend/pages/article.tpl)  % line  292, file: ArticleHandler.inc.php  
         ArticleHandler.view(Array[1], Object:Request)  % line  391, file: PKPRouter.inc.php  
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false)  % line  231, file: PKPPageRouter.inc.php  
   PKPPageRouter.route(Object:Request)  % line  143, file: Dispatcher.inc.php  
Dispatcher.dispatch(Object:Request)  % line  281, file: PKPApplication.inc.php  
PKPApplication.execute()  % line   68, file: index.php  
                                                                   ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2])  % line  132, file: DAO.inc.php  
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600)  % line   91, file: ArticleSearchDAO.inc.php  
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1)  % line  201, file: SubmissionSearch.inc.php  
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1)  % line  194, file: SubmissionSearch.inc.php  
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1)  % line  132, file: SubmissionSearch.inc.php  
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null)  % line  263, file: SubmissionSearch.inc.php  
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1])  % line   92, file: RecommendBySimilarityPlugin.inc.php  
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3])  % line  107, file: HookRegistry.inc.php  
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3])  % line 1267, file: PKPTemplateManager.inc.php  
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template)  % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php  
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template)  % line  123, file: smarty_template_resource_base.php  
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template)  % line  114, file: smarty_template_compiled.php  
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template)  % line  216, file: smarty_internal_template.php  
                     Smarty_Internal_Template.render(false, 1)  % line  232, file: smarty_internal_templatebase.php  
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1)  % line  134, file: smarty_internal_templatebase.php  
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null)  % line  924, file: PKPTemplateManager.inc.php  
            PKPTemplateManager.display(frontend/pages/article.tpl)  % line  292, file: ArticleHandler.inc.php  
         ArticleHandler.view(Array[1], Object:Request)  % line  391, file: PKPRouter.inc.php  
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false)  % line  231, file: PKPPageRouter.inc.php  
   PKPPageRouter.route(Object:Request)  % line  143, file: Dispatcher.inc.php  
Dispatcher.dispatch(Object:Request)  % line  281, file: PKPApplication.inc.php  
PKPApplication.execute()  % line   68, file: index.php  
                                                                   ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2])  % line  132, file: DAO.inc.php  
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600)  % line   91, file: ArticleSearchDAO.inc.php  
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1)  % line  201, file: SubmissionSearch.inc.php  
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1)  % line  194, file: SubmissionSearch.inc.php  
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1)  % line  132, file: SubmissionSearch.inc.php  
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null)  % line  263, file: SubmissionSearch.inc.php  
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1])  % line   92, file: RecommendBySimilarityPlugin.inc.php  
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3])  % line  107, file: HookRegistry.inc.php  
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3])  % line 1267, file: PKPTemplateManager.inc.php  
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template)  % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php  
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template)  % line  123, file: smarty_template_resource_base.php  
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template)  % line  114, file: smarty_template_compiled.php  
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template)  % line  216, file: smarty_internal_template.php  
                     Smarty_Internal_Template.render(false, 1)  % line  232, file: smarty_internal_templatebase.php  
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1)  % line  134, file: smarty_internal_templatebase.php  
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null)  % line  924, file: PKPTemplateManager.inc.php  
            PKPTemplateManager.display(frontend/pages/article.tpl)  % line  292, file: ArticleHandler.inc.php  
         ArticleHandler.view(Array[1], Object:Request)  % line  391, file: PKPRouter.inc.php  
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false)  % line  231, file: PKPPageRouter.inc.php  
   PKPPageRouter.route(Object:Request)  % line  143, file: Dispatcher.inc.php  
Dispatcher.dispatch(Object:Request)  % line  281, file: PKPApplication.inc.php  
PKPApplication.execute()  % line   68, file: index.php  
                                                                   ADOConnection.CacheExecute(3600, SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2])  % line  132, file: DAO.inc.php  
                                                               DAO.retrieveCached(SELECT 				o.submission_id, 				MAX(s.context_id) AS journal_id, 				MAX(i.date_published) AS i_pub, 				MAX(p.date_published) A..., Array[2], 3600)  % line   91, file: ArticleSearchDAO.inc.php  
                                                            ArticleSearchDAO.getPhraseResults(Object:Journal, Array[1], null, null, , 500, 1)  % line  201, file: SubmissionSearch.inc.php  
                                                         SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[1], , null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                      SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[4], , null, null, 500, 1)  % line  194, file: SubmissionSearch.inc.php  
                                                   SubmissionSearch._getMergedPhraseResults(Object:Journal, Array[4], null, null, null, 500, 1)  % line  146, file: SubmissionSearch.inc.php  
                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1)  % line  132, file: SubmissionSearch.inc.php  
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null)  % line  263, file: SubmissionSearch.inc.php  
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1])  % line   92, file: RecommendBySimilarityPlugin.inc.php  
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3])  % line  107, file: HookRegistry.inc.php  
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3])  % line 1267, file: PKPTemplateManager.inc.php  
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template)  % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php  
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template)  % line  123, file: smarty_template_resource_base.php  
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template)  % line  114, file: smarty_template_compiled.php  
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template)  % line  216, file: smarty_internal_template.php  
                     Smarty_Internal_Template.render(false, 1)  % line  232, file: smarty_internal_templatebase.php  
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1)  % line  134, file: smarty_internal_templatebase.php  
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null)  % line  924, file: PKPTemplateManager.inc.php  
            PKPTemplateManager.display(frontend/pages/article.tpl)  % line  292, file: ArticleHandler.inc.php  
         ArticleHandler.view(Array[1], Object:Request)  % line  391, file: PKPRouter.inc.php  
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false)  % line  231, file: PKPPageRouter.inc.php  
   PKPPageRouter.route(Object:Request)  % line  143, file: Dispatcher.inc.php  
Dispatcher.dispatch(Object:Request)  % line  281, file: PKPApplication.inc.php  
PKPApplication.execute()  % line   68, file: index.php  
 
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