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Handling UGIB as HO - Leaderboard
Handling UGIB as HO - Details
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A is totally wrong. Prepare for scoldings. B. Do assessment first. Check for VS first. BP, PR. | Patient presented with PR bleed. What should you do? A. inform MO B. do assessment first. If you choose this, what assessment you should do first? |
Do DRE. Look out for any bleed/growth. Bleed - brownish, melena, fresh melena or fresh PR Bleed? Double gloves ye. if haematinic stool, do not worries much. | Pt presented with PR Bleed. You check VS. What's next? |
1. FBC - to check Hb 2. coag profile - to check for any bleeding tendencies 3. GSH/GXM. If noted nappy of pt presented with full of blood then prepare for GXM. | VS and DRE were done for pt with PR bleed. What's next? What ix you want to do? |
1. Insert 2 large bore canullae (orange/black) 2. IVD NS if pt bp drop or tachy 3. IV Pantoprazole 80mg STAT then BD or infusion 8mg/H (PPI) | What's the plan? |