UGIB Treatment Plan: Endoscopy and Anticoagulation
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Questions and Answers

When should endoscopy be delayed in patients taking anticoagulant or antiplatelet agents?

  • When the INR is above 1.5 (correct)
  • In hemodynamically stable patients
  • Until the bleeding has stopped
  • In patients with severe, ongoing bleeding

    • What is the recommended approach for patients with severe, ongoing bleeding who take anticoagulant medications?

  • Perform urgent endoscopy and manage antithrombotic medications (correct)
  • Delay endoscopy until the bleeding has stopped
  • Discontinue anticoagulant medication before performing endoscopy
  • Wait until the INR is 2.5 before performing endoscopy

    • What is the recommended threshold for INR before performing endoscopy in patients taking anticoagulant medications?

  • INR of 1.5
  • INR of 5.0 (correct)
  • INR of 2.5
  • INR of 2.0

    • What is the primary consideration for deciding when to perform endoscopy in patients with non-variceal bleeding?

    <p>The patient's hemodynamic stability</p> Signup and view all the answers

    What is the first step in treating active bleeding peptic ulcers?

    <p>Lift clots where possible, then apply endoscopic therapy</p> Signup and view all the answers

    What is the recommended approach for patients with ongoing bleeding who are taking antiplatelet agents?

    <p>Perform urgent endoscopy and manage antiplatelet medications</p> Signup and view all the answers

    What is the goal of endoscopic therapy in non-variceal bleeding?

    <p>To prevent rebleeding</p> Signup and view all the answers

    When is endoscopic therapy indicated for peptic ulcers?

    <p>Immediately after diagnosis of active bleeding</p> Signup and view all the answers

    What is the primary purpose of cleaning ulcers and flat spots during endoscopic therapy?

    <p>To prepare the surface for mechanical therapy</p> Signup and view all the answers

    What is the priority in managing active bleeding peptic ulcers?

    <p>Lifting clots where possible before applying therapy</p> Signup and view all the answers

    What is the first step in the management of non-variceal bleeding?

    <p>Resuscitation</p> Signup and view all the answers

    What is the Glasgow-Blatchford score range for hemoglobin in men?

    <p>12-13</p> Signup and view all the answers

    When is it recommended to give omeprazole in the management of non-variceal bleeding?

    <p>In patients with high-risk bleeds</p> Signup and view all the answers

    What is the next step after resuscitation in the management of non-variceal bleeding?

    <p>Endoscopy within 24 hours</p> Signup and view all the answers

    What is the significance of a systolic blood pressure of 100-109 mmHg in the Glasgow-Blatchford score?

    <p>Score of 1</p> Signup and view all the answers

    What is the timing of endoscopy in patients with non-variceal bleeding?

    <p>Within 24 hours</p> Signup and view all the answers

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