Bloody NG Drainage

1. Insertion trauma. Usually nasopharyngeal.

2. Mucosal irritation. Often results from a tube that has been in place for > 48 hours; there is usually an associated acidic pH.

3. Swallowed pharyngeal blood. Posterior nosebleeds may not be clinically obvious.

4. Suture line disruption or hemorrhage. More likely in a patient who has had recent surgery.

5. Gastric or duodenal ulceration. More common in severely ill patients (eg, premature infants, burns, sepsis, head injury, steroid use, pancreatitis).

6. Gastric erosion or gastritis, esophagitis or Mallory-Weiss tear, esophageal varices. Mallory-Weiss tears are more frequent in patients who have had forceful vomiting or retching. Esophageal varices can result in severe GI bleeding.

7. Aortoenteric fistula. Severe GI bleeding; may be secondary to foreign body ingestion or occur after aortic surgery.

0 0

Post a comment