Question

A 60-year-old man with cirrhosis presents with large-volume haematemesis and hypotension. After ABC assessment and resuscitation are initiated, what is the most appropriate immediate pharmacological therapy while awaiting endoscopy?

Accepted Answer

Intravenous terlipressin and prophylactic intravenous antibiotics

Answer

High-dose oral proton pump inhibitor alone

Answer

Oral propranolol

Answer

Tranexamic acid only

Answer

No drug therapy until endoscopy confirms varices

Practice question

A 60-year-old man with cirrhosis presents with large-volume haematemesis and hypotension. After ABC assessment and resuscitation are initiated, what is the most appropriate immediate pharmacological therapy while awaiting endoscopy?