3 Hours Of Large-volume in Medicine / Internal Medicine — 64yo Woman | Gastroenterology | SMLE Q#11853
SMLE Question #11853
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 64-year-old woman with atrial fibrillation on long-term warfarin presents with 3 hours of large-volume dark-red hematochezia, dizziness, and near-syncope. She is pale and diaphoretic with cool extremities, and rectal examination shows gross blood. Two large-bore IV cannulas are in place. What is the most appropriate immediate step in fluid/blood resuscitation?
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