Podcast
Questions and Answers
What is the goal when titrating propranolol or nadolol for varices prophylaxis?
What is the goal when titrating propranolol or nadolol for varices prophylaxis?
- Taper down the dose until no longer tolerated
- Reach a 20-25% reduction in resting HR (correct)
- Maintain an absolute HR of 80-90 beats/min
- Achieve a resting HR of 70-75 beats/min
Which of the following is NOT a reason for using nonselective ß-blockers in patients with varices at high risk for bleeding?
Which of the following is NOT a reason for using nonselective ß-blockers in patients with varices at high risk for bleeding?
- Promote splanchnic vasoconstriction
- Enhance hepatic vein pressure (correct)
- Decrease cardiac output
- Prevent splanchnic vasodilation
What is the preferred pharmacologic agent for the treatment of bleeding varices?
What is the preferred pharmacologic agent for the treatment of bleeding varices?
- Vasopressin
- Nitroglycerin
- Somatostatin
- Octreotide (correct)
What is the maximum duration that vasopressin should be infused for in the treatment of variceal bleeding?
What is the maximum duration that vasopressin should be infused for in the treatment of variceal bleeding?
In patients with ascites or infection, which antibiotic is commonly used to decrease mortality?
In patients with ascites or infection, which antibiotic is commonly used to decrease mortality?
What is the primary prophylactic treatment for varices in patients at high risk for bleeding?
What is the primary prophylactic treatment for varices in patients at high risk for bleeding?
When considering secondary prophylaxis for varices, what should be the target heart rate during propranolol or nadolol treatment?
When considering secondary prophylaxis for varices, what should be the target heart rate during propranolol or nadolol treatment?
What is the primary mechanism of action of beta blockers, such as propranolol, in the management of portal hypertension and varices?
What is the primary mechanism of action of beta blockers, such as propranolol, in the management of portal hypertension and varices?
Why is it essential to measure the pressure gradient between the portal vein and inferior vena cava (IVC) for diagnosis of portal hypertension?
Why is it essential to measure the pressure gradient between the portal vein and inferior vena cava (IVC) for diagnosis of portal hypertension?
Which of the following is a non-pharmacologic management strategy for portal hypertension and varices?
Which of the following is a non-pharmacologic management strategy for portal hypertension and varices?
What is the primary goal of endoscopic treatment in patients with esophageal and gastric varices?
What is the primary goal of endoscopic treatment in patients with esophageal and gastric varices?
In patients with ascites, which of the following antibiotics is commonly used for primary prophylaxis against spontaneous bacterial peritonitis?
In patients with ascites, which of the following antibiotics is commonly used for primary prophylaxis against spontaneous bacterial peritonitis?
Which of the following medications is commonly used in combination with vasoconstrictors for acute variceal bleeding?
Which of the following medications is commonly used in combination with vasoconstrictors for acute variceal bleeding?
When titrating the dosage of nadolol in the management of varices, what is a common guideline regarding dosing adjustments?
When titrating the dosage of nadolol in the management of varices, what is a common guideline regarding dosing adjustments?
Flashcards are hidden until you start studying
