UGIB Treatment Plan: Endoscopy and Anticoagulation

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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?

The patient's hemodynamic stability Signup and view all the answers

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

Lift clots where possible, then apply endoscopic therapy Signup and view all the answers

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

Perform urgent endoscopy and manage antiplatelet medications Signup and view all the answers

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

To prevent rebleeding Signup and view all the answers

When is endoscopic therapy indicated for peptic ulcers?

Immediately after diagnosis of active bleeding Signup and view all the answers

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

To prepare the surface for mechanical therapy Signup and view all the answers

What is the priority in managing active bleeding peptic ulcers?

Lifting clots where possible before applying therapy Signup and view all the answers

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

Resuscitation Signup and view all the answers

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

12-13 Signup and view all the answers

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

In patients with high-risk bleeds Signup and view all the answers

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

Endoscopy within 24 hours Signup and view all the answers

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

Score of 1 Signup and view all the answers

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

Within 24 hours Signup and view all the answers

UGIB Treatment Plan: Endoscopy and Anticoagulation

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