Question

A 58-year-old man presents with hematemesis and melena. He is hypotensive and tachycardic. After securing the airway and initiating resuscitation, what is the most appropriate pharmacologic therapy to start before endoscopy?

Accepted Answer

Prokinetic agent alone

Answer

High-dose intravenous proton pump inhibitor

Answer

Oral H2-receptor antagonist

Answer

Oral proton pump inhibitor

Answer

Intravenous octreotide only

Practice question

A 58-year-old man presents with hematemesis and melena. He is hypotensive and tachycardic. After securing the airway and initiating resuscitation, what is the most appropriate pharmacologic therapy to start before endoscopy?