A 58-year-old with hematemesis is endoscoped for a bleeding duodenal ulcer requiring hemostasis. Post-endoscopic acid suppression per ACG guideline?...

Question

A 58-year-old with hematemesis is endoscoped for a bleeding duodenal ulcer requiring hemostasis. Post-endoscopic acid suppression per ACG guideline?

Accepted Answer

High-dose PPI: 80 mg IV bolus then 8 mg/h continuous infusion for 72 h

Answer

Standard-dose PPI once daily for 72 h

Answer

H2 blocker infusion

Answer

No acid suppression needed

Answer

PPI only as needed for pain

us-abem MCQ (SBA): Upper GI Bleeding