GI Bleed

GI Bleed
[ ] prior EGD/colono?
[ ] consider variceal* hemorrhage, early GI c/s

  • Consider Sangsten-Blakemore tube (after intubation)

[ ] EKG
[ ] +/- NG lavage
[ ] 2 large bore IVs
[ ] type & cross
[ ] CBC, chem 7, LFTs, lactate, *coags*, blood cxs, ammonia level
[ ] Pantoprazole 80 mg IV/ 8 mg/hr gtt
[ ] Octreotide 50 mcg IV / 25-50 mcg/hr gtt
[ ] Ceftriaxone
[ ] FFP? platelets?

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