A 67-year-old man presents with melaena, dizziness and postural hypotension. His heart rate is 110 beats/min and blood pressure 92/60 mmHg. He takes a...

Question

A 67-year-old man presents with melaena, dizziness and postural hypotension. His heart rate is 110 beats/min and blood pressure 92/60 mmHg. He takes aspirin for secondary prevention of ischaemic heart disease. What is the most important immediate management step?

Accepted Answer

Insert two large-bore intravenous cannulas and commence fluid resuscitation

Answer

Arrange urgent outpatient endoscopy within 7 days

Answer

Start high-dose oral proton pump inhibitor and discharge

Answer

Stop aspirin and observe without further treatment

Answer

Give intravenous vitamin K

au-amc MCQ (SBA): Acute upper gastrointestinal bleed

A 67-year-old man presents with melaena, dizziness and postural hypotension. His heart rate is 110 beats/min and blood pressure 92/60 mmHg. He takes aspirin for secondary prevention of ischaemic heart disease. What is the most important immediate management step?