You are caring for a patient with severe abdominal pain and dark, tarry stools. What should be your immediate action?

The immediate action of administering high-flow oxygen and starting IV lines is justified in this scenario because the patient is presenting with symptoms indicative of a potentially serious condition, such as internal bleeding or gastrointestinal hemorrhage. Dark, tarry stools often suggest that blood has been digested, typically from an upper gastrointestinal source. This can lead to significant blood loss and compromise the patient’s hemodynamic status.

Starting IV lines is crucial for rapid fluid resuscitation in the event that the patient is becoming hypovolemic due to blood loss. By ensuring high-flow oxygen, you can help maintain adequate oxygen delivery, especially if the patient is exhibiting signs of shock, such as altered mental status or low blood pressure. This dual approach prioritizes both oxygenation and circulatory support, which are critical components in the management of a patient with severe abdominal pain and significant gastrointestinal symptoms.

While options involving saline boluses and establishing vascular access are key components of treatment, the combination of high-flow oxygen with IV line initiation specifically addresses the urgency of the situation, where rapid stabilization is essential to prevent further complications.