Adjunctive therapies: stress ulcer prophylaxis Flashcards
1
Q
Who is at greates risk to develop stress ulcer?
A
- severe sepsis
- coagulopathic
- mechanically ventilated - > 48hrs
- hypotesice
2
Q
What prophylaxis is used for stress ulcer ?
A
- H2-r antagonist - ranitidine > effective than sucralfate
- PPI - omeprazole
benefits weight against potential effect of increased gastric pH and dev of infectious complications like HAP / C - diff