upper GI bleed Flashcards
1
Q
what is the glasgow-blatchford score a predictor of?
what are the parameters of GBS?
what does a score of 6 indicate?
A
- necessity of medical intervention
- blood urea nitrogen
- Hb
- systolic blood pressure
- melaena
- heart/ liver failure
- pulse rate
- 50% risk of needing intervention
2
Q
what is the immediate management of UGIB?
conservative management?
A
- resuscitation
- stop NSAIDs + Anticoagulants
- initiate IV opioids and metoclopramide
3
Q
what is the medical management if they have a variceal bleed? surgical?
A
- terlipressin
- antibiotics
- band ligation
- TIPS
4
Q
what is the management of non-variceal bleed?
A
- thermal coagulation with adrenaline
- fibrin/ thrombin with adrenaline
- surgical clips
5
Q
should patients on aspirin or clopidogrel be restarted?
what else should they go home with?
A
- only once they are haemodynamically and haemostatically stable
- PPI
6
Q
what does the rockall score assess?
what are the parameters?
A
- mortality post recovery
- BP and HR
- Cause: e.g. varix/ malignancy
- bleeding on endoscopy
