دستورات اولیه در خونریزی گوارشی فوقانی

1. NPO
2. NG tube + washing up to clearance
3. CVS very frequent (for example q30min, if very ill)
4. Supplemental O2 4 lit/min
5. Cardiac monitoring + Pulse Oximetry (if very ill)
6. Visit for Internal Medicine Resident (emergent endoscopy)
7. Serum NS 1000 cc / IV / stat free (repeatable)
8. CBC q6h
9. Na, K, BUN, Cr, BS, PT, PTT, INR
10. Foley cath fixed
11. Chart I/O
12. CV line + CVP control q1h
13. CXR (portable)
14. ECG
15. ABG
16. Reserve 6 units of PC, 6 units of FFP
17. Transfuse PC if massive gross bleeding or not responsive to crystalloids
18. Transfuse FFP if INR > 1.5
19. Transfuse PLT if PLT < 100,000
20. Reserve ICU bed (if very ill)
21.Amp. pantoprazole  40mg  IV  BD