What are the administration of acute variceal bleeding?
Answers:
medical management
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a-injection sclerotherapy
b-pharmacotherapy, close to (1)vasopression (2)nitroglycerin (3)somatostatin (4)metoclopramide (5) pentagastrin
c-ballon tamponade
d-Transjugular intrahepatic portosystemic shunt (TIPS)
surgical management
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a-emergency portacaval shunting
b-ligation of varices
epinephrine
it activate alpha 1 receptors and causes vasoconstriction.for this reason, it stops hemostasis (superficial bleeding or mucous membrane bleeding).but but epinephrine is very non-selective.the adverse effect on the heart can wreak dysrythmia, shock, and angina pectoris..for diabetic patients, hyperglycemia can happen
Kaka is 100% correct. Nice screenname btw ;-)
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