Question

A 58-year-old with upper GI bleeding (melena, Hgb 8.2 g/dL) becomes stable after fluids. Which pharmacologic therapy should be started before endoscopy?

Accepted Answer

High-dose PPI (e.g., 80 mg IV bolus, then infusion)

Answer

Octreotide infusion for all UGIB

Answer

Prophylactic heparin

Answer

Tranexamic acid routinely

Answer

No medications until endoscopy

Practice question

A 58-year-old with upper GI bleeding (melena, Hgb 8.2 g/dL) becomes stable after fluids. Which pharmacologic therapy should be started before endoscopy?