UGIB Flashcards
1
Q
What are the three sections of the Rockall score? When should it be done?
A
Age, shock status, comorbidities
Prior to endoscopy
2
Q
Pharmacologic treatment non variceal UGIB?
A
High dose PPI e.g omeprazole 40 mg BD
3
Q
Mechanism of action terlipressin?
A
Lowers portal pressure by vasoconstriction splanchnic supply
4
Q
Mx variceal bleed?
A
Terlipressin Prophylactic abx High dose lactulose Chlordiazepoxide Pabrinex Avoid nephrotoxics Manage ascites Avoid over transfusing, aim Hct 30%
