A patient with cirrhosis presents with haematemesis and is haemodynamically unstable. Which combination is most appropriate?
Answer and explanation
Correct answer: C. Resuscitation, a vasoactive drug such
- Step 1: Variceal haemorrhage from portal hypertension is the most likely cause in a cirrhotic with haematemesis. Step 2. Treatment combines restrictive resuscitation, a splanchnic vasoconstrictor, antibiotic prophylaxis and early endoscopic ligation. Answer: vasoactive drug, antibiotics and band ligation. Why not the others: Over-transfusion raises portal pressure and aspirin worsens bleeding; PPIs alone and beta-blockers alone do not control active bleeding.
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