2 Hours Of Massive in Medicine / Internal Medicine — 55yo Man | Gastroenterology | SMLE Q#11958
SMLE Question #11958
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 55-year-old man with alcohol-related liver cirrhosis presents with 2 hours of massive hematemesis and melena. He is pale and diaphoretic. Examination shows ascites and spider angiomata. He has received IV crystalloid resuscitation, and type-specific packed red blood cells are being transfused. Urgent upper GI endoscopy is planned for an upper GI bleed. In addition to ongoing volume restoration, which intravenous medication should be started before endoscopy to help control the bleeding?
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