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
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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
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