Portal HTN

Question 1

SAAG

Answer 1

> 1.1 confirms portal HTN due to cirrhosis

Question 2

Goal

Answer 2

prevent variceal enlargement and bleeding

Question 3

Portal HTN can lead to

Answer 3

Variceal bleeding

Question 4

Diagnosis

Answer 4

• EGD

- If present treat with non selective beta blockers

Question 5

Non selective beta blockers

Answer 5

• Propranolol 20-40 mg bid
• Nadolol 20-40 mg daily
• Carvedilol 3.125 mg bid
• titrate up to resting HR 60 bpm

Question 6

Dec/hold beta blocker if

Answer 6

• SBP <90
• DBP <60
• HR <60
• HRS
• SBP
• Refractory ascites