6 Questions
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.
In patients older than 35 years with upper gastrointestinal bleeding, what is the primary reason for performing an early electrocardiogram (ECG)?
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.
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.
What is the recommended transfusion threshold for stable patients without known coronary artery disease who are experiencing upper gastrointestinal bleeding?
Transfusion should be initiated when the hemoglobin level is less than 8 g/dL.
Which of the following pharmacologic therapies is recommended for patients with cirrhosis and suspected esophageal varices who are experiencing upper gastrointestinal bleeding?
Octreotide and antibiotics.
What is the recommended approach for patients with exsanguinating (severe) upper gastrointestinal bleeding?
Emergent transfusion of untyped packed red blood cells.
Learn about the management guidelines for patients with upper gastrointestinal bleeding (UGIB), including the use of nasogastric tube and electrocardiogram (ECG) in evaluation. Understand why routine placement of a nasogastric tube is not recommended in UGIB patients, and the importance of early ECG in patients older than 35 years.
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