What are the three sections of the Rockall score? When should it be done?
Age, shock status, comorbidities
Prior to endoscopy
Pharmacologic treatment non variceal UGIB?
High dose PPI e.g omeprazole 40 mg BD
Mechanism of action terlipressin?
Lowers portal pressure by vasoconstriction splanchnic supply
Mx variceal bleed?
Terlipressin Prophylactic abx High dose lactulose Chlordiazepoxide Pabrinex Avoid nephrotoxics Manage ascites Avoid over transfusing, aim Hct 30%