Tarry stool

The nurse withholds the next dose and notifies the primary health care provider immediately if any gastric symptoms especially nausea, vomiting, diarrhea, evidence of bleeding (blood in stool, tarry stools), or abdominal pain occurs... 

The nurse should immediately report evidence of bleeding in any patient receiving heparin bleeding gums epistaxis (nosebleed), easy bruising, black tarry stools, hematuria (blood in the urine), oozing from wounds or IV sites or decrease in blood pressure. 

Notify the primary health care provider of the following adverse reactions sore throat, rash, fever, unusual bleeding, black or tarry stools, easy bruising, or confusion. 

The nurse reportsany of the following to the health care provider immediately bleeding gums easy bruising, petechiae (pinpoint hemorrhage, increased menstrual bleeding, tarry stools bloody urine, or coffee-ground emesis... 

A 51 -year-old woman presents to the emergency department complaining of abdominal pain for the past 3 days and dark tarry stools over the past 2 days. She states that she has never had these symptoms before and that she has been feeling weak and tired for the past 2 weeks. She denies having bright red blood in her stools or vomiting. She does not take any prescription medications and only takes extra-strength acetaminophen for occasional headaches. 

Alarm signs and symptoms include bleeding, anemia, tarry stools or "coffee-grounds" emesis, and weight loss. 

Assess the patient s subjective complaints and objective information for adverse effects. For NSAID therapy, be alert for new-onset epigastric pain, dark or tarry stools, blood in vomitus, dizziness or light-headedness, development of edema, decreased urine output by more than 50% over a 24-hour period, or shortness of breath. For colchicine, monitor for nausea or vomiting, diarrhea, easy bruising, cold or flulike symptoms, light-headedness, muscle weakness, or pain. Counsel the patient to inform you of any new medications started or stopped while taking colchicine. 

Gastrointestinal Effects. Two case reports provide evidence of gastrointestinal effects in humans after exposure to unknown concentrations of 1,4-dichlorobenzene. A 60-year-old man who had been exposed to vapors of 1,4-dichlorobenzene in his home for 3-4 months reported having several bowel movements a day with loose tarry stools for 10 days before being admitted to a hospital (Cotter 1953). 

Other Systemic Effects. No studies were located regarding other effects in humans following inhalation exposure to 1,4-dichlorobenzene. Ascites, esophageal varices, hemorrhoids, and tarry stools are all secondary effects of subacute, yellow atrophy and cirrhosis of the liver (Cotter 1953). 

Notify the physician if blood in vomitus or stool, or dark, tarry stool occurs Monitoring Parameters... 

Notify clinician of black, tarry stools, chills, fever, sore throat, bleeding, bruising, cough, shortness of breath, dark or bloody urine... 

Assess the patient for abdominal pain and GI bleeding. Observe for overt blood in emesis or stool and for tarry stools... 

Evaluate for diarrhea and signs of GI bleeding, such as bright red or tarry stools... 

Notify the physician if persistent GI effects, especially black, tarry stools occur Monitoring Parameters... 

Monitor for thrombocytopenia (bleeding from gums, tarry stool, petechiae, small subcutaneous hemorrhages)... 

Symptoms and warning signs include gastrointestinal (stomach) discomfort such as dyspepsia/indigestion, nausea or vomiting (with or without fresh or altered blood), and dark, tarry stools. 

Melaena (tarry stool) (s. p. 349) is defined as tarry, sticky stools resulting from the decomposition of blood by intestinal bacteria. The occurrence of melaena depends on the amount of blood and the time of gastrointestinal passage. Usually, melaena is only to be expected in lower gastrointestinal bleeding with a bleed-... 

Observe for signs of bleeding, such as dark (tarry) stools, bleeding bumps, petechiae (round red spots), ecchymosis (excessive bruising), and purpura (large red spots). 

Report any signs of bleeding such as petechiae, ecchymosis, purpura, tarry stools, bleeding gums, epistaxis, or expectoration of blood. 

Persistent vomiting, blood in vomit, black tarry stools Peptic ulcer, gastric cancer... 

Have you passed any blood from your rectum or vomited blood Have you noticed any dark, tarry stools ... 

HEALTH SYMPTOMS inhalation (bleeding from nose or gums, back pain, pallor, weakness, reduced clotting of blood, smoky urine, black tarry stools, abdominal pain). 

ACUTE HEALTH RISKS epistaxis (nosebleed) bleeding from gums, and from minor cuts and bruises pallor weakness smoky urine black, tarry stools stomach and back pain may occur one to several days after exposure. 

CHRONIC HEALTH RISKS repeated exposure may cause generalized bleeding, such as nosebleeds may cause excessive bleeding from minor cuts and bruises causes reduced blood clotting, which leads to hemorrhaging may cause smoky urine, black tarry stools, abdominal and back pain. 

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