Esophageal Varices Nursing Action

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Across
  1. 1. Relieve thirst and maintain oral comfort
  2. 6. Maintain hygiene during balloon tamponade to reduce infection risk
  3. 7. Watch sodium and potassium levels with vasoactive drugs
  4. 9. Monitor for signs of encephalopathy like confusion or mood changes
  5. 10. Prevent variceal rupture by reducing pressure from coughing or lifting
  6. 16. Ensure return before giving fluids post-endoscopy
  7. 17. Watch for seizures, sleep changes, or disorientation
  8. 18. Given after sclerotherapy to reduce acid and protect the esophagus
  9. 19. Check for signs of recurrent bleeding after procedures
  10. 21. Prevent patient from pulling tube due to confusion or discomfort
  11. 22. Soothe throat discomfort when patient is NPO
  12. 26. Keep stomach empty to prevent nausea and vomiting
  13. 27. Watch for inhalation of stomach contents, especially post-endoscopy
  14. 28. Evaluate asterixis by comparing daily handwriting samples
Down
  1. 1. H2 blocker used to counteract sclerosing agents
  2. 2. Prevent necrosis by removing balloon within 12 hours
  3. 3. Look for esophageal tears after procedures
  4. 4. Provide nutrition when oral intake is not possible
  5. 5. Watch for hyperactive or flaccid reflexes with encephalopathy
  6. 8. Note musty breath odor, a sign of liver dysfunction
  7. 11. Replace volume lost during bleeding episodes
  8. 12. Regularly check blood pressure and heart rate
  9. 13. Monitor for narrowing of the esophagus post-treatment
  10. 14. Track fluids to assess balance during treatment
  11. 15. Calm environment reduces stress and portal pressure
  12. 20. Withhold food and fluids during active bleeding
  13. 23. Remove secretions if patient cannot clear them
  14. 24. Track eating and weight changes during liver treatment
  15. 25. Supports blood clotting in liver-impaired patients