A 58-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and dizziness. He is pale and clammy, blood pressure ...

Question

A 58-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and dizziness. He is pale and clammy, blood pressure is 82/50 mmHg, heart rate 122/min and capillary refill time is 5 seconds. What is the single most appropriate immediate management step?

Accepted Answer

Establish two large-bore intravenous cannulae and start crystalloid resuscitation

Answer

Arrange urgent upper GI endoscopy within 24 hours

Answer

Give intravenous Omeprazole bolus

Answer

Insert a nasogastric tube for lavage

Answer

Arrange an urgent CT angiogram

uk-plab-1 MCQ (SBA): Acute upper GI bleed

A 58-year-old man with a history of peptic ulcer disease presents with large-volume haematemesis and dizziness. He is pale and clammy, blood pressure is 82/50 mmHg, heart rate 122/min and capillary refill time is 5 seconds. What is the single most appropriate immediate management step?