Tx of bleeding varices.
How should you treat a Pt w/ bleeding varices (similar as you would treat someone w/...)?
Treat for shock; administer oxygen
IV fluids, electrolytes, volume expanders, blood and blood products
- Vasopressin, somatostatin, octreotide to
- decease bleeding
Nitroglycerin in combination with vasopressin to reduce coronary vasoconstriction
Propranolol and nadolol to decrease portal pressure; used in combination with other treatment