Question

A 60-year-old with alcohol-related cirrhosis, ascites, and SBP 78 mm Hg after GI bleed is suspected to have variceal hemorrhage. Immediate pharmacotherapy?

Accepted Answer

Start vasoactive agent (octreotide) and antibiotics promptly

Answer

Start PPI only

Answer

No antibiotics unless fever

Answer

Delay vasoactive drugs until endoscopy

Answer

Propranolol immediately

Practice question

A 60-year-old with alcohol-related cirrhosis, ascites, and SBP 78 mm Hg after GI bleed is suspected to have variceal hemorrhage. Immediate pharmacotherapy?