A 62-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and hypotension. He is tachycardic and pale. After se...

Question

A 62-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and hypotension. He is tachycardic and pale. After securing the airway and starting resuscitation, what pharmacologic therapy should be initiated before endoscopy according to Canadian GI bleed guidelines?

Accepted Answer

High-dose intravenous proton pump inhibitor

Answer

Oral proton pump inhibitor

Answer

H2 receptor antagonist

Answer

Tranexamic acid only

Answer

No pharmacologic therapy prior to endoscopy

ca-mccqe1 MCQ (SBA): Acute upper GI bleed pre-endoscopy management