Question

A 71-year-old with fever and hematemesis due to suspected variceal hemorrhage arrives hypotensive. Initial pharmacologic therapy in addition to resuscitation?

Accepted Answer

Start octreotide infusion and give ceftriaxone 1 g IV daily

Answer

Start IV pantoprazole only

Answer

Begin propranolol immediately

Answer

Start aspirin for portal thrombosis prophylaxis

Answer

Delay antibiotics until cultures return

Practice question

A 71-year-old with fever and hematemesis due to suspected variceal hemorrhage arrives hypotensive. Initial pharmacologic therapy in addition to resuscitation?