Large-volume Hematemesis in Medicine / Internal Medicine — 54yo Man | Gastroenterology | SMLE Q#11254
SMLE Question #11254
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 54-year-old man with alcohol-related cirrhosis presents with large-volume hematemesis and lightheadedness. He appears pale and diaphoretic. After initial stabilization, urgent upper endoscopy identifies actively bleeding esophageal varices, and endoscopic band ligation is planned. In addition to volume resuscitation, which intravenous medication is most appropriate to help control the variceal bleeding?
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