ORALS - GI SCRIPTS Flashcards

1
Q

Indications, complications and contraindications to a Blakemore tube

A

Complications:
airway obstruction
esophageal rupture
aspiration pneumonitis
pain
pressure ulcers (lips, mouth, nose, tongue)
mucosal erosions of esophagus + stomach
dislodgment of prior variceal bands

Indications
unstable patient + massive variceal bleed PLUS
endoscopy not available
endoscopy not successful
consultant team unavailable

Contraindications
hx of esophgeal stricture
recent esophageal or gastric surgery

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2
Q

MASSIVE GIB SCRIPT

A
  1. PPE/MOVID
    resus team, RT, additional ERP
    pre-alert GI bleed team
    bloodwork - type and screen, INR
  2. Management
    MTP to resus (HgB >70 / CAD >80)
    PPI 80mg IV then 8mg/hr
    hx of cirrhosis - CTX 1g IV
    Undifferentiated or variceal - octreotide 50mcg IV
    reversal for anticoagulation
    history of aortic graft - CT angio (r/o aortoenteric fistula)
    LGIB - CTA to localize lesion (IR vs gen surgery)
  3. Potentially intubated (CONTAMINATED AIRWAY script)
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3
Q

Contents of an MTP

A

BOX 1: 4RBC, 2FFP
BOX 2: 4RBC, 4FFP, 1PLT
CaCl, INR/fibrinogen
BOX 3: 6RBC, 6FFP, 1PLT
4g fibrinogen (10U cryo)

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