Podcast
Questions and Answers
What is the primary reason why routine placement of a nasogastric tube is not recommended in patients with suspected upper gastrointestinal bleeding?
What is the primary reason why routine placement of a nasogastric tube is not recommended in patients with suspected upper gastrointestinal bleeding?
- It fails to reliably provide useful data to guide management and is associated with unnecessary patient discomfort and potential complications. (correct)
- It can lead to further exacerbation of the bleeding episode.
- It is not effective in identifying the source of the bleeding.
- It is an invasive procedure that carries a high risk of patient mortality.
In patients older than 35 years with upper gastrointestinal bleeding, what is the primary reason for performing an early electrocardiogram (ECG)?
In patients older than 35 years with upper gastrointestinal bleeding, what is the primary reason for performing an early electrocardiogram (ECG)?
- To monitor for any changes in cardiac activity that may occur during the bleeding episode.
- To assess the patient's overall cardiovascular health and risk of complications.
- To identify any underlying cardiac conditions that may be contributing to the bleeding episode.
- Patients with upper gastrointestinal bleeding and coronary disease may develop an acute coronary syndrome that presents with atypical symptoms, such as nausea and abdominal discomfort. (correct)
What is the significance of a blood urea nitrogen (BUN) to creatinine (Cr) ratio greater than 35 in patients with upper gastrointestinal bleeding?
What is the significance of a blood urea nitrogen (BUN) to creatinine (Cr) ratio greater than 35 in patients with upper gastrointestinal bleeding?
- It is 90% specific for upper gastrointestinal bleeding. (correct)
- It is a poor indicator of upper gastrointestinal bleeding and should not be used to guide management.
- It is 90% sensitive for upper gastrointestinal bleeding.
- It can be used to rule out upper gastrointestinal bleeding.
What is the recommended transfusion threshold for stable patients without known coronary artery disease who are experiencing upper gastrointestinal bleeding?
What is the recommended transfusion threshold for stable patients without known coronary artery disease who are experiencing upper gastrointestinal bleeding?
Which of the following pharmacologic therapies is recommended for patients with cirrhosis and suspected esophageal varices who are experiencing upper gastrointestinal bleeding?
Which of the following pharmacologic therapies is recommended for patients with cirrhosis and suspected esophageal varices who are experiencing upper gastrointestinal bleeding?
What is the recommended approach for patients with exsanguinating (severe) upper gastrointestinal bleeding?
What is the recommended approach for patients with exsanguinating (severe) upper gastrointestinal bleeding?
