A 73-year-old on chronic opioids presents with hematochezia and instability. Per ACG LGIB guidance, which resuscitation/lab strategy is advised?...

Question

A 73-year-old on chronic opioids presents with hematochezia and instability. Per ACG LGIB guidance, which resuscitation/lab strategy is advised?

Accepted Answer

Restrictive RBC transfusion, correct coagulopathy, and consider reversal of anticoagulants when indicated

Answer

Use platelets only

Answer

Transfuse to Hb >10 g/dL

Answer

No labs until colonoscopy

Answer

Prophylactic octreotide

us-abem MCQ (SBA): Lower GI Bleeding