Variceal Bleeding Flashcards
1
Q
Variceal bleeding
A
- Consequence of portal HTN
- Risk factor for SBP
2
Q
Treatment
A
- Supportive care measures
- IV fluids, Oxygen
- Packed red blood cells
- Octreotide (somatostatin analog)
- EVL
- 3GC
3
Q
Octreotide
A
- inhibits glucagon (vasoconstriction of splanchnic circulation)
- IV bolus then infusion
4
Q
EVL
A
- endoscopic variceal ligation
- rubber-banding
- EGD allows performance of EDL to occur
5
Q
3GC
A
for SBP prevention use a 7 day course of certriaxone IV
6
Q
Once bleeding stablizes
A
use non selective beta blocker
