A 62-year-old man presents with melena and dizziness. Blood pressure is 90/55 mmHg and heart rate 110 beats/min. He appears pale and clammy. Which of ...

Question

A 62-year-old man presents with melena and dizziness. Blood pressure is 90/55 mmHg and heart rate 110 beats/min. He appears pale and clammy. Which of the following is the most appropriate immediate management step?

Accepted Answer

Insert two large-bore intravenous cannulas and commence intravenous crystalloid resuscitation

Answer

Arrange urgent outpatient gastroscopy without resuscitation

Answer

Give oral omeprazole and discharge

Answer

Start warfarin for presumed portal vein thrombosis

Answer

Insert a nasogastric tube only

au-acem MCQ (SBA): Acute upper gastrointestinal bleeding resuscitation

A 62-year-old man presents with melena and dizziness. Blood pressure is 90/55 mmHg and heart rate 110 beats/min. He appears pale and clammy. Which of the following is the most appropriate immediate management step?