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Upper GI Bleeding (Non-Variceal)

Jul 18, 2022
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ADVICE

Initial Management of Upper GI Bleed

  • Assess a patient's hemodynamic stability by checking vital signs, especially heart rate and blood pressure.
  • Consider underlying conditions and medications like beta blockers that might mask tachycardia.
ADVICE

Resuscitation and Initial Steps

  • Place two large-bore peripheral IVs for optimal fluid resuscitation, as they offer better flow rates than central lines.
  • Administer an IV proton pump inhibitor (PPI) twice daily and keep the patient NPO.
INSIGHT

Orthostatic Vitals

  • Orthostatic vital signs can reveal blood loss between 15% and 40%, even before resting hypotension manifests.
  • Consider the patient's overall health, age, and comorbidities when assessing risk.
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