Hematemesis & Malena
Patient (condition)
 
Aliases:
Upper GI bleed
Haematemesis and malaena
H&M

Topic aliases are alternate phrasings for a particular topic.


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Gastroscopy +/- laparotomy

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May 14, 2012
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Two large bore intravenous cannula IVC

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May 18, 2011
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Consider a Central venous-catheter if significant blood loss (to monitor drop in preload) or if inotropes expected

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Apr 08, 2013
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Consider inserting a central line if the patient proceeds to a laparotomy.

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May 14, 2012
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If elderly or cardiac comorbidities with significant blood loss, consider intra-arterial blood pressure monitoring.

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Jun 08, 2011
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Extubate awake

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May 18, 2011
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The patient may be intravascularly deplete with a high SVR & is at risk of exaggerated hypotension with sympatholysis from general anaesthesia.

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Cross match sufficient blood

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May 16, 2012
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Consider booking HDU/ICU postop if the patient is acidotic and the procedure is converted to a laparotomy. Post laparotomy respiratory acidosis from splinting may exacerbate existing metabolic acidosis.

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