Question

A 58-year-old man with known oesophageal varices presents with large-volume haematemesis and hypotension. After initial resuscitation, what is the most appropriate immediate pharmacological therapy?

Accepted Answer

Start intravenous Terlipressin and prophylactic intravenous antibiotics

Answer

Start high-dose intravenous proton pump inhibitor only

Answer

Offer oral Propranolol

Answer

Start oral iron supplementation

Answer

No pharmacological therapy is needed before endoscopy

Practice question

A 58-year-old man with known oesophageal varices presents with large-volume haematemesis and hypotension. After initial resuscitation, what is the most appropriate immediate pharmacological therapy?