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 (D)</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 (B)</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 (A)</p> Signup and view all the answers

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

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

When is endoscopic therapy indicated for peptic ulcers?

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

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

<p>Resuscitation (B)</p> Signup and view all the answers

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

<p>12-13 (A)</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 (B)</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 (B)</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 (D)</p> Signup and view all the answers

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

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

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