A 68-year-old man presents with a large-volume haematemesis and melaena. He is tachycardic, BP 98/60 mmHg and looks pale. Hb is 68 g/L, platelets 220 ...

Question

A 68-year-old man presents with a large-volume haematemesis and melaena. He is tachycardic, BP 98/60 mmHg and looks pale. Hb is 68 g/L, platelets 220 × 10⁹/L and INR 1.1. After initial fluid resuscitation and cross-match, what is the most appropriate transfusion strategy?

Accepted Answer

Transfuse packed red cells to maintain Hb above 70 g/L

Answer

Transfuse packed red cells to maintain Hb above 100 g/L

Answer

Transfuse packed red cells to maintain Hb above 80 g/L

Answer

Avoid transfusion unless Hb

Answer

Transfuse platelets and FFP routinely regardless of coagulation

au-amc MCQ (SBA): Upper gastrointestinal bleeding

A 68-year-old man presents with a large-volume haematemesis and melaena. He is tachycardic, BP 98/60 mmHg and looks pale. Hb is 68 g/L, platelets 220 × 10⁹/L and INR 1.1. After initial fluid resuscitation and cross-match, what is the most appropriate transfusion strategy?