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GI bleeding (Transfusion (PRBC (Hb < 9 g/dl with high-risk(elder、CAD),…
GI bleeding
Transfusion
PRBC
Hb < 9 g/dl with high-risk(elder、CAD)
Hb < 7 g/dl with low-risk
但不輸大於10
Fresh Frosen Plasma
Coagulopathy
每輸4U PRBC，應考慮1U FFP
Platelets
Thrombocytopenia ( PLT < 50,000 )
NPO
Perfusion
treat hypotension with rapid/bolus isotonic crystalloid
suspected / known severe bleeding
PPI
IV: 80 mg over 30 minutes,
followed by 8 mg/hour IVD for 3 days ,
then 40 mg PO QD for 27 additional days (Sung, 2009)
suspected / known EV bleeding and/or cirrhosis
Somatostatin / Glypressin
Anti-
Ceftriaxone
FQs
