Question

A 70-year-old man with GI bleeding and hypotension is transfused RBCs to Hb 7.2 g/dL. He remains tachycardic and hypotensive. Next step?

Accepted Answer

Further resuscitation guided by clinical status; consider additional transfusion and source control

Answer

No additional transfusion; Hb above 7.0

Answer

Wait for Hb to drop <6.5

Answer

Start iron only

Answer

Restrict fluids to avoid hemodilution

Practice question

A 70-year-old man with GI bleeding and hypotension is transfused RBCs to Hb 7.2 g/dL. He remains tachycardic and hypotensive. Next step?