This is frank melena. A HO should give fluids and give loading dose of IV pantoprazole 80mg stat and IVI pantoprazole 8mg/hour. Take blood investigations FBC, RP, coag profile, GSH and blood gas as well and inform medical officer in charge
Kyouraku Shunsui
Close vital signs monitoring. Put patient on oxygen (high flow mask) and repeat ABG after 1 hour
Kyouraku Shunsui
Administer tranexamic acid 1g stat as well. Patient need an urgent scope
Take vitals signs at same time Take quick history nsaid usage,blood thinning agent, more hx on pr bleed Start iv panto stat n infusion Insert 2 latge bore cannular Run fast ivdrip depends on bp status Review meds for any anticoagulant Send gsh kiv blood trx
If you're still tagging or first few week as HO, the least you could do is to asses patient quickly (vital signs, perfusion), put in large bore branula & quickly notify your MO
Take vitals signs at same time
Take quick history nsaid usage,blood thinning agent, more hx on pr bleed
Start iv panto stat n infusion
Insert 2 latge bore cannular Run fast ivdrip depends on bp status
Review meds for any anticoagulant
Send gsh kiv blood trx