
194. It's Lower Than You Think - Lower GI Bleed
The Intern At Work: Internal Medicine
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How to Resuscitate a Patient With GI Bleeding
Start with intravenous fluids in the form of crystalloid solutions to try and normalize your patient's vital signs. Red blood cells should be given in a patient with massive bleeding, irrespective of initial hemoglobin levels. Platelet transfusion should only be considered when the count is below 50 times 10 to the 9 per liter. Rapid transfusion of blood products may therefore be required.
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