Question

A 67-year-old with upper GI bleeding from a duodenal ulcer stabilized after resuscitation and endoscopic hemostasis. Next best acid suppression strategy?

Accepted Answer

High-dose IV PPI (e.g., 80 mg bolus then 8 mg/h infusion for 72 hours)

Answer

H2 blocker infusion

Answer

No acid suppression post-endoscopy

Answer

Oral PPI once daily only

Answer

Sucralfate alone

Practice question

A 67-year-old with upper GI bleeding from a duodenal ulcer stabilized after resuscitation and endoscopic hemostasis. Next best acid suppression strategy?