GI 1 Flashcards
1
Q
4 strong indications for stress ulcer ppx
A
Mech vent >48 hrs; coagulopathy;
TBI; GIB or ulcer in past year
2
Q
How often to deflate esophageal tamponade balloons?
A
Every 12 hrs (and leave deflated if no bleeding)
3
Q
Esophageal tamponade balloons should only be inflated to ___ mmHg.
A
30-45
4
Q
Parenteral nutrition should be considered if pt receiving <60% calorie/protein goals at day ___.
A
7-10
5
Q
Give _____ for severe alcoholic hepatitis (per current guidelines).
A
Steroids!
6
Q
Define “severe” alcoholic hepatitis.
A
Maddrey score ≥ 32 or MELD ≥ 20
7
Q
Estimated mortality for alcoholic hepatitis w/ MELD ≥ 20
A
20%
8
Q
Esophageal tamponase balloon should not be left in place longer than _____.
A
24-48 hrs