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
2
Q
MASSIVE GIB SCRIPT
A
- PPE/MOVID
resus team, RT, additional ERP
pre-alert GI bleed team
bloodwork - type and screen, INR - 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) - Potentially intubated (CONTAMINATED AIRWAY script)
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)