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HardGIVariceal upper gastrointestinal bleeduk-plab-1

A 56-year-old man with a history of alcohol excess presents with large-volume haematemesis and hypotension. He has spider naevi and palmar erythema. Observations: BP 80/50 mmHg, pulse 120 bpm. After ABC assessment, large-bore IV access, and fluid resuscitation, what additional specific pharmacological therapy should be started while arranging urgent endoscopy?

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