Melaena
Gastrointestinal history
See Lower GIT Bleed
Rx
NBM
IV pantoprazole
?PRBC/Plt/Clotting factors/Cryop/Cryodepleted/FFP/Vitamin K
?reversal of anticoagulation
?inhibition of clot break down (Tranexamic acid)
PEG on free drainage (?insert NG and free drainage)
IVF
Stool micro for red cells
FOB
Referral to gastroenterology ?scope
See Lower GIT Bleed
Rx
NBM
IV pantoprazole
?PRBC/Plt/Clotting factors/Cryop/Cryodepleted/FFP/Vitamin K
?reversal of anticoagulation
- Unfractionated heparin aka Standard Heparin (variable lengths and weights)
- Low molecular weight heparin (enoxaparin aka clexane)
- Heparins use protamine sulphate
- Warfarin (Vit K, prothrombin complex concentrate (II, IX, X and small VII) and FFP (for VII)
?inhibition of clot break down (Tranexamic acid)
PEG on free drainage (?insert NG and free drainage)
IVF
Stool micro for red cells
FOB
Referral to gastroenterology ?scope