76yof presents with 4 days of dark melanotic stools. What should you grab to bring with you before you go into the room?
Responda
guaiac card
NG Tube
developer
blood consent form
2U PRBC
Speculum
culture swabs
lube
Questão 2
Questão
76yof presents with 4 days of dark melanotic stools. You brought in your stuff with you... like a boss... What do you want to ask this patient about?
Responda
NSAID use
pepto bismol use
menstrual/vaginal bleeding
anticoagulant use
easy bruising/bleeding
favorite color
vaccination history
Questão 3
Questão
76yof presents with 4 days of dark melanotic stools. You do a rectal exam, it's guaiac positive. You also hear a late-peaking crescendo-decrescendo systolic murmur. What is a likely cause of her GI bleeding?
Responda
longstanding aortic stenosis --> GI AV malformations
profound anemia --> AV malformations
longstanding mitral regurg --> esophageal varices
H. pylori infection --> peptic ulcer disease
hemorrhoids
Questão 4
Questão
76yof presents with 4 days of dark melanotic stools. Guaiac positive stool. VS are stable, patient is not in distress, she is not on anticoagulants, has no cardiac history. Her hemoglobin returns at 6.9, what do you do?
Responda
transfuse 1U PRBC
watch and wait
give TXA
admit to the ICU and let them deal with it.
Questão 5
Questão
42yom w/ history of EtOH abuse presents to ED with massive hematemesis. BP 64/22. Patient's mental status is declining. What do you need set up/at the bedside in order to intubate this patient?
Responda
video and traditional laryngoscopes
push dose pressors
suction
BVM
pressor drip
central line
2 large bore IVs or IOs
bougie
NG tube
octreotide
Questão 6
Questão
You have successfully intubated the 42yom w/ massive hematemesis. What medications should be started now in order to reduce morbidity and mortality?
Responda
fentanyl drip 25mcg/hour
fentanyl drip 100mcg/hour
IV ceftriaxone 1g
PPI drip
octreotide
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