RT Book, Section
A1 Baker, Jeffery A.
A2 Sherman, Scott C.
A2 Weber, Joseph M.
A2 Schindlbeck, Michael A.
A2 Rahul G., Patwari
SR Print(0)
ID 1101224823
T1 Gastrointestinal Bleeding
T2 Clinical Emergency Medicine
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179460-2
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101224823
RD 2024/04/19
AB Aggressive  resuscitative  measures  (intravenous  access,  crystalloid  bolus,  and  blood  products)  are  necessary  in  unstable  patients  with  gastrointestinal  (GI)  bleeding.A  negative  nasogastric  lavage  does  not  completely  exclude  an  upper  GI  bleed.A  brisk  upper  GI  bleed  should  be  considered  in  the  differential  of  patients  who  present  with  hematochezia.Octreotide  should  be  administered  in  patients  with  liver  disease  and  significant  upper  GI  bleeding,  even  when  the  diagnosis  of  esophageal  varices  has  not  been  confirmed.Emergent  endoscopy  should  be  arranged  when  active  upper  GI  bleeding  is  present.