Question

A 54-year-old with upper GI bleeding (melena, Hb 8.1 g/dL) is stabilized. What pharmacotherapy is indicated before and after endoscopy?

Accepted Answer

Start high-dose IV PPI before endoscopy and continue high-dose after endoscopic therapy

Answer

High-dose IV PPI infusion after endoscopic hemostasis; no PPI before

Answer

Oral PPI only after discharge

Answer

H2 blocker infusion

Answer

No acid suppression needed

Practice question

A 54-year-old with upper GI bleeding (melena, Hb 8.1 g/dL) is stabilized. What pharmacotherapy is indicated before and after endoscopy?