A 44-year-old man presents with melaena and postural dizziness. He has been taking ibuprofen regularly for back pain. Blood pressure is 100/60 mmHg an...

Question

A 44-year-old man presents with melaena and postural dizziness. He has been taking ibuprofen regularly for back pain. Blood pressure is 100/60 mmHg and pulse 110 beats/min. According to Australian upper gastrointestinal bleeding guidance, what is the most important initial management step?

Accepted Answer

Resuscitate with intravenous fluids, large-bore IV access and cross-match blood, then arrange urgent endoscopy

Answer

Arrange urgent outpatient endoscopy within 1 week

Answer

Start high-dose oral proton pump inhibitor and discharge

Answer

Give oral sucralfate and monitor

Answer

Commence long-term NSAIDs for analgesia

au-acem MCQ (SBA): Upper gastrointestinal bleeding

A 44-year-old man presents with melaena and postural dizziness. He has been taking ibuprofen regularly for back pain. Blood pressure is 100/60 mmHg and pulse 110 beats/min. According to Australian upper gastrointestinal bleeding guidance, what is the most important initial management step?