A patient admitted with bleeding related to esophageal varices could be expected to receive a continuous intravenous infusion of

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Pharmacologic management is used to lower portal pressure by dilating collateral pathways and reducing splanchnic blood flow.Controlling bleeding is often accomplished using vasopressin,but side effects limit its use.Recently,octreotide acetate,a synthetic analog of the naturally occurring hormone somatostatin,has been effectively used as a replacement for vasopressin.Fluid resuscitation is carried out using normal saline.Anticoagulants are contraindicated in a patient with active bleeding.Intravenous proton pump inhibitors may be used,but not as a continuous infusion.

A Patient Admitted with Bleeding Related to Esophageal Varices Could